Physician Compare National (NPI:1336427525)

HEALTHCARE PROVIDER: ELSAID MOHAMED RABIE MB, BCH

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

Individual Professional Information
NPI	1336427525
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4183867039
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130826000588
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RABIE
	Individual professional last name
Provider First Name	ELSAID
	Individual professional first name
Provider Middle Name	M
	Individual professional middle 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	2002
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	STEVENS COMMUNITY MEDICAL CENTER 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	3678475852
	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	22
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	400 E 1ST ST
	Group Practice or individual's line 1 address
City	MORRIS
	Group Practice or individual's city
State	MN
	Group Practice or individual's state
Zip Code	562671408
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3205891313
	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	241381
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SANFORD THIEF RIVER FALLS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	241367
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FIRSTLIGHT HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	241363
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	STEVENS COMMUNITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	241380
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST JOSEPHS AREA HEALTH SERVICES
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y