Physician Compare National (NPI:1184633927)

HEALTHCARE PROVIDER: ELANA N. KRIPKE 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	1184633927
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7810079183
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080124000651
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KRIPKE
	Individual professional last name
Provider First Name	ELANA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MAIN LINE INTERNAL MEDICINE LLC
	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	2769564806
	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	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	11 INDUSTRIAL BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	PAOLI
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	193011620
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6106959345
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390153
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PAOLI HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390195
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MAIN LINE HOSPITAL LANKENAU
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y