Physician Compare National (NPI:1144578378)

HEALTHCARE PROVIDER: RUSHIKESH H SHAH MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1144578378
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2668773938
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200803001028
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHAH
	Individual professional last name
Provider First Name	RUSHIKESH
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	DIGESTIVE HEALTH ASSOCIATES OF TEXAS PA
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2769372150
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	104
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	7501 LAKEVIEW PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 260
	Group Practice or individual's line 2 address
City	ROWLETT
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750889325
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9724758183
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450021
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYLOR UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110010
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EMORY UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450851
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y