Physician Compare National (NPI:1174786594)

HEALTHCARE PROVIDER: HASSAN KARIMI BENCHEQROUN 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	1174786594
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1052470218
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101015001163
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BENCHEQROUN
	Individual professional last name
Provider First Name	HASSAN
	Individual professional first name
Provider Middle Name	K
	Individual professional middle 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	1999
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CRITICAL CARE (INTENSIVISTS)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	555 E TACHEVAH DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1W104
	Group Practice or individual's line 2 address
City	PALM SPRINGS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	922625772
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050243
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DESERT REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050077
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SCRIPPS MERCY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050757
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ALVARADO HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y