Physician Compare National (NPI:1366524068)

HEALTHCARE PROVIDER: RAKESH GOPINATHANNAIR M.D., M.A.

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

Individual Professional Information
NPI	1366524068
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2668668302
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181217002181
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GOPINATHANNAIR
	Individual professional last name
Provider First Name	RAKESH
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	CARDIAC ELECTROPHYSIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	INTERNAL MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	MIDWEST HEART AND VASCULAR SPECIALISTS 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	7618122417
	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	76
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2000 SE BLUE PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 250
	Group Practice or individual's line 2 address
City	LEES SUMMIT
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	640631029
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9139060833
	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	260027
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RESEARCH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	170176
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OVERLAND PARK REG MED CTR
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	260175
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GOLDEN VALLEY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	260214
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BELTON REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y