Physician Compare National (NPI:1396722203)

HEALTHCARE PROVIDER: DAVID R PIMENTEL 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	1396722203
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688866098
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101004001104
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PIMENTEL
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	R
	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	1992
	Individual professional's medical school graduation year
Primary Specialty	ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY
	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
Line 1 Street Address	800 WASHINGTON ST
	Group Practice or individual's line 1 address
City	NORWOOD
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	020623487
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7817697000
	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	220031
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BOSTON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	220126
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NORWOOD HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M