Physician Compare National (NPI:1346445764)

HEALTHCARE PROVIDER: KAKIN ROBERT IONG 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	1346445764
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6103009485
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140905000010
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	IONG
	Individual professional last name
Provider First Name	KAKIN
	Individual professional first name
Provider Middle Name	ROBERT
	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	2007
	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
Line 1 Street Address	1900 N SUNRISE DR
	Group Practice or individual's line 1 address
City	ST PETER
	Group Practice or individual's city
State	MN
	Group Practice or individual's state
Zip Code	560825376
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5079312200
	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	241334
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RIVER'S EDGE HOSPITAL & CLINIC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330350
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M