Physician Compare National (NPI:1215121512)

HEALTHCARE PROVIDER: PARAG RASIK PATEL 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	1215121512
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153416763
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070927000429
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PATEL
	Individual professional last name
Provider First Name	PARAG
	Individual professional first name
Provider Middle Name	R
	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	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	126 S CORONADO DR B
	Group Practice or individual's line 1 address
City	SIERRA VISTA
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	856356350
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	030043
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CANYON VISTA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	031312
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	COPPER QUEEN COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	031301
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BENSON HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y