Physician Compare National (NPI:1194924647)

HEALTHCARE PROVIDER: ANKUR CHAWLA 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	1194924647
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9133377625
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120906000634
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHAWLA
	Individual professional last name
Provider First Name	ANKUR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	VASCULAR SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	UNIVERSITY SURGICAL ASSOCIATES LLP
	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	7315834165
	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	49
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4900 BROAD RD
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	SYRACUSE
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	132152265
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330241
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330203
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CROUSE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330044
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	FAXTON-ST LUKE'S HEALTHCARE
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y