Physician Compare National (NPI:1356376966)

HEALTHCARE PROVIDER: KIRTIDA N RINGWALA 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	1356376966
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789729179
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100310000419
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RINGWALA
	Individual professional last name
Provider First Name	KIRTIDA
	Individual professional first name
Provider Middle Name	NIKUNJ
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1977
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PEDIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PEDIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	10 E IRVING AVE
	Group Practice or individual's line 1 address
City	OSHKOSH
	Group Practice or individual's city
State	WI
	Group Practice or individual's state
Zip Code	549014552
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9202363214
	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	520009
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST ELIZABETH HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	520198
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	AURORA MEDICAL CENTER OSHKOSH
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y