Physician Compare National (NPI:1255696522)

HEALTHCARE PROVIDER: MELISSA ALETA 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	1255696522
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325312358
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170914002311
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALETA
	Individual professional last name
Provider First Name	MELISSA
	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	2005
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SHANNON CLINIC
	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	0840103727
	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	272
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	220 E HARRIS
	Group Practice or individual's line 1 address
City	SAN ANGELO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	76903
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3256581511
	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	450571
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SHANNON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	451310
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BALLINGER MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	451301
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	REAGAN MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	451325
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CONCHO COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	451324
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	LILLIAN M HUDSPETH MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1255696522)

HEALTHCARE PROVIDER: MELISSA ALETA MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information