Physician Compare National (NPI:1285622548)

HEALTHCARE PROVIDER:

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1285622548
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658415179
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100223000039
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DAR
	Individual professional last name
Provider First Name	ASAF
	Individual professional first name
Provider Middle Name	ALI
	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	1972
	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	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3878 ROCKY RIVER DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2
	Group Practice or individual's line 2 address
City	CLEVELAND
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	441114135
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2162516464
	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	360123
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST JOHN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360077
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FAIRVIEW HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360087
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LUTHERAN HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360180
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CLEVELAND CLINIC
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y