Physician Compare National (NPI:1285601872)

HEALTHCARE PROVIDER: HARI P GADDE 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	1285601872
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143309179
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080502000130
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GADDE
	Individual professional last name
Provider First Name	HARI
	Individual professional first name
Provider Middle Name	P
	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	CRITICAL CARE (INTENSIVISTS)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PULMONARY DISEASE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE, PULMONARY DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	330 MADISON ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE L11
	Group Practice or individual's line 2 address
City	JOLIET
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	604356569
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8157445864
	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	140007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PRESENCE SAINT JOSEPH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y