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Physician Compare National (NPI:1245488659)

HEALTHCARE PROVIDER: HANI A BLEIBEL 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 1245488659
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2365597333
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120810000504
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BLEIBEL
Individual professional last name
Provider First Name HANI
Individual professional first name
Provider Middle Name A
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 2004
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 NEPHROLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties NEPHROLOGY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 910 WALLACE AVE
Group Practice or individual's line 1 address
City LEITCHFIELD
Group Practice or individual's city
State KY
Group Practice or individual's state
Zip Code 427542414
Group Practice or individual's zip code (9 digits when available)
Phone Number 2702599400
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 180070
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 TWIN LAKES REGIONAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 230077
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 ST MARY'S OF MICHIGAN MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 230117
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 BORGESS MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 230216
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 MCLAREN PORT HURON
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 180088
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 NORTON HOSPITALS, INC
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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