Physician Compare National (NPI:1164735262)

HEALTHCARE PROVIDER: SWATI SRIVASTAVA 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	1164735262
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6204171960
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181227001426
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SRIVASTAVA
	Individual professional last name
Provider First Name	SWATI
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	PATHOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	UNIVERSITY HOSPITALS MEDICAL GROUP INC
	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	4789682493
	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	1229
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	11100 EUCLID AVE
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	CLEVELAND
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	441061716
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360020
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SUMMA HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360359
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360351
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CRYSTAL CLINIC ORTHOPAEDIC CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360137
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	UNIVERSITY HOSPITALS OF CLEVELAND
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y