Physician Compare National (NPI:1407886658)

HEALTHCARE PROVIDER: PEERAPOD CHIOWANICH 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	1407886658
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1456549757
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110103000160
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHIOWANICH
	Individual professional last name
Provider First Name	PEERAPOD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	VIRTUAL RADIOLOGIC PROFESSIONALS OF NEW YORK PA
	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	9335244169
	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	21
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	121 W 20TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	APT 4F
	Group Practice or individual's line 2 address
City	NEW YORK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	100113600
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9525951100
	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	420071
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SELF REGIONAL HEALTHCARE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	030071
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FORT DEFIANCE INDIAN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330073
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	UNITED MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	230236
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	METRO HEALTH HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	420101
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	COASTAL CAROLINA HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1407886658)

HEALTHCARE PROVIDER: PEERAPOD CHIOWANICH MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information