Physician Compare National (NPI:1306811344)

HEALTHCARE PROVIDER: SAILAJA KODURI

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

Individual Professional Information
NPI	1306811344
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931201589
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070228000219
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KODURI
	Individual professional last name
Provider First Name	SAILAJA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	UPMC COMMUNITY MEDICINE INC
	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	2062318975
	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	683
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	5140 LIBERTY AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 150
	Group Practice or individual's line 2 address
City	PITTSBURGH
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	152242215
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390114
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y