Physician Compare National (NPI:1295025435)

HEALTHCARE PROVIDER: ANANTA BHATT 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	1295025435
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870729635
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20171012001908
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BHATT
	Individual professional last name
Provider First Name	ANANTA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	HEMATOLOGY/ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MARY HITCHCOCK MEMORIAL HOSPITAL
	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	4486561164
	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	558
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2300 SOUTHWOOD DR
	Group Practice or individual's line 1 address
City	NASHUA
	Group Practice or individual's city
State	NH
	Group Practice or individual's state
Zip Code	030631818
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6036574170
	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	300003
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MARY HITCHCOCK MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	300011
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST JOSEPH HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y