Physician Compare National (NPI:1396800868)

HEALTHCARE PROVIDER: SHEIKH M. YOUSUF-ALI 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	1396800868
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2961661863
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120313000512
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YOUSUF ALI
	Individual professional last name
Provider First Name	SHEIKH
	Individual professional first name
Provider Middle Name	M
	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	1966
	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	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	515 N RIDGEFIELD AVE
	Group Practice or individual's line 1 address
City	BRIDGEPORT
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	066102557
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2033347654
	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	070010
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BRIDGEPORT HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y