Physician Compare National (NPI:1417990987)

HEALTHCARE PROVIDER: NIPUN PATEL 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	1417990987
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002000429
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101029001062
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PATEL
	Individual professional last name
Provider First Name	NIPUN
	Individual professional first name
Provider Middle Name	BALDEVBHAI
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3646 CHAMBLEE TUCKER RD D
	Group Practice or individual's line 1 address
City	CHAMBLEE
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	303414406
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110076
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DEKALB MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110161
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NORTHSIDE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	110087
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GWINNETT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	110010
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	EMORY UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y