Physician Compare National (NPI:1407084494)

HEALTHCARE PROVIDER: ANUPAM ADITI 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	1407084494
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385808971
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120611000705
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ADITI
	Individual professional last name
Provider First Name	ANUPAM
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BAYLOR COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2009
	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	GASTROENTEROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GASTROENTEROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	INSITE DIGESTIVE HEALTHCARE
	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	2163686874
	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	1860 EL CAMINO REAL
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	BURLINGAME
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	940103106
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6507565007
	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	050289
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SETON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050152
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT FRANCIS MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050407
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CHINESE HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050174
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SANTA ROSA MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y