Physician Compare National (NPI:1356427512)

HEALTHCARE PROVIDER: HUSAM ELSHEIKH 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	1356427512
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618165408
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101221000363
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ELSHEIKH
	Individual professional last name
Provider First Name	HUSAM
	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	1974
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5565 GROSSMONT CTR DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 227
	Group Practice or individual's line 2 address
City	LA MESA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	919423026
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050026
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GROSSMONT HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050100
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SHARP MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y