Physician Compare National (NPI:1225057284)

HEALTHCARE PROVIDER: INGIDA ASFAW 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	1225057284
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1850429614
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100514000641
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ASFAW
	Individual professional last name
Provider First Name	INGIDA
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	INDIANA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1967
	Individual professional's medical school graduation year
Primary Specialty	CARDIAC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	THORACIC SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	VASCULAR SURGERY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	THORACIC SURGERY, VASCULAR SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	6001 W OUTER DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 321
	Group Practice or individual's line 2 address
City	DETROIT
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	482352626
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	230024
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SINAI-GRACE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	230019
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PROVIDENCE HOSP AND MED CTRS
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y