Physician Compare National (NPI:1184857138)

HEALTHCARE PROVIDER: MUSTAFA MOHAMMED ALI 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	1184857138
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789709858
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100913000694
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALI
	Individual professional last name
Provider First Name	MUSTAFA
	Individual professional first name
Provider Middle Name	MOHAMMED
	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	2007
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	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
Secondary Specialty 2	INTERNAL MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	2040 W DEVON AVE
	Group Practice or individual's line 1 address
City	CHICAGO
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	606592128
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140114
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SWEDISH COVENANT HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140082
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LOUIS A WEISS MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140080
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PRESENCE SAINT FRANCIS HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	140251
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	COMMUNITY FIRST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y