Physician Compare National (NPI:1265519052)

HEALTHCARE PROVIDER: RAJENDRA GOVIND HIPPALGAONKAR 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	1265519052
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325130362
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120213000246
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HIPPALGAONKAR
	Individual professional last name
Provider First Name	RAJENDRA
	Individual professional first name
Provider Middle Name	G
	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	1979
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SOUTHWEST VOLUSIA HEALTHCARE CORPORATION
	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	0446153308
	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	33
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1055 SAXON BLVD
	Group Practice or individual's line 1 address
City	ORANGE CITY
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	327638468
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3869175016
	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	100072
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FLORIDA HOSPITAL FISH MEMORIAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100161
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CENTRAL FLORIDA REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y