Physician Compare National (NPI:1245338490)

HEALTHCARE PROVIDER: LAKSHMI PRATHIPATI 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	1245338490
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4183796287
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120125000430
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PRATHIPATI
	Individual professional last name
Provider First Name	LAKSHIMI
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1980
	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	KUMARA PRATHIPATI MD INC
	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	0547220675
	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	4276 54TH PL
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B
	Group Practice or individual's line 2 address
City	SAN DIEGO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	921156011
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6192863222
	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	050100
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SHARP MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050026
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GROSSMONT HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y