Physician Compare National (NPI:1285788307)

HEALTHCARE PROVIDER: ELVIRA RIOS 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	1285788307
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1850368945
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100823000040
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RIOS
	Individual professional last name
Provider First Name	ELVIRA
	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	1985
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	17021 HILLSIDE HILLS PLZ
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	OMAHA
	Group Practice or individual's city
State	NE
	Group Practice or individual's state
Zip Code	68130
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	280013
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	THE NEBRASKA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	280130
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHI HEALTH LAKESIDE
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	280060
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CHI HEALTH BERGAN MERCY
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y