Physician Compare National (NPI:1164538989)

HEALTHCARE PROVIDER: AHMED J BAIG 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	1164538989
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385530419
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100810000755
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BAIG
	Individual professional last name
Provider First Name	AHMED
	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	1978
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5701 W 110TH ST
	Group Practice or individual's line 1 address
City	LEAWOOD
	Group Practice or individual's city
State	KS
	Group Practice or individual's state
Zip Code	662112503
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	170146
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROVIDENCE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	170104
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SHAWNEE MISSION MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	260216
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SAINT LUKE'S EAST HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y