Physician Compare National (NPI:1164587341)

HEALTHCARE PROVIDER: JOSEPH R DOTOLO M.D.

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

Individual Professional Information
NPI	1164587341
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173651882
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100517000281
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DOTOLO
	Individual professional last name
Provider First Name	JOSEPH
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1964
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	27 CRESTVIEW DR
	Group Practice or individual's line 1 address
City	WESTERLY
	Group Practice or individual's city
State	RI
	Group Practice or individual's state
Zip Code	028912907
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	410013
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WESTERLY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	410008
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SOUTH COUNTY HOSPITAL INC
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y