Physician Compare National (NPI:1396031308)

HEALTHCARE PROVIDER: NEIL KISHOR DESAI 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	1396031308
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5496981706
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150812007253
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DESAI
	Individual professional last name
Provider First Name	NEIL
	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	2010
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2420 DOUBLE CHURCHES RD
	Group Practice or individual's line 1 address
City	COLUMBUS
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	319092983
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7063247882
	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	110064
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MIDTOWN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110129
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST FRANCIS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	010029
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	EAST ALABAMA MEDICAL CENTER AND SNF
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	110200
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	NORTHSIDE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y