Physician Compare National (NPI:1336140524)

HEALTHCARE PROVIDER: GEORGE HENNAWI 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	1336140524
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830291145
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190715002210
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HENNAWI
	Individual professional last name
Provider First Name	GEORGE
	Individual professional first name
Provider Gender	M
	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	1996
	Individual professional's medical school graduation year
Primary Specialty	GERIATRIC MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	MEDSTAR GOOD SAMARITAN PHYSICIANS LLC
	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	1153542980
	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	114
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	18101 PRINCE PHILIP DR
	Group Practice or individual's line 1 address
City	OLNEY
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	208321514
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4434444720
	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	210056
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDSTAR GOOD SAMARITAN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y