Physician Compare National (NPI:1326393141)

HEALTHCARE PROVIDER: RAJDIP BARMAN 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	1326393141
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648413849
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200810002961
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BARMAN
	Individual professional last name
Provider First Name	RAJDIP
	Individual professional first 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	2006
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC PSYCHIATRY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC PSYCHIATRY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	GENESIS HEALTH SYSTEM
	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	6103829338
	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	170
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1351 W CENTRAL PARK AVE
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	DAVENPORT
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	528041889
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	160033
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GENESIS MEDICAL CENTER-DAVENPORT
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	510008
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BERKELEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y