Physician Compare National (NPI:1154685097)

HEALTHCARE PROVIDER: JOSEPH ROBERT KAPURCH II 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	1154685097
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6204072317
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130828000663
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KAPURCH
	Individual professional last name
Provider First Name	JOSEPH
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Name Suffix Text	II
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	NEUROSURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	METROPOLITAN NEUROSURGERY 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	7214930254
	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	12
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	11850 BLACKFOOT NWST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 490
	Group Practice or individual's line 2 address
City	COON RAPIDS
	Group Practice or individual's city
State	MN
	Group Practice or individual's state
Zip Code	554332773
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	240057
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ABBOTT NORTHWESTERN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	240115
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	240001
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	NORTH MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y