Physician Compare National (NPI:1255539938)

HEALTHCARE PROVIDER: SURENA NAMDARI 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	1255539938
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0244488245
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130923000689
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NAMDARI
	Individual professional last name
Provider First Name	SURENA
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NOVACARE OUTPATIENT REHABILITATION EAST 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	3678480290
	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	63
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1468 OLD YORK RD
	Group Practice or individual's line 1 address
City	ABINGTON
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	190012617
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2158851829
	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	390322
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ROTHMAN ORTHOPAEDIC SPECIALTY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390174
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	THOMAS JEFFERSON UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390115
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ARIA HEALTH
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	390231
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ABINGTON MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	390258
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ST MARY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1255539938)

HEALTHCARE PROVIDER: SURENA NAMDARI MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information