Physician Compare National (NPI:1447540943)

HEALTHCARE PROVIDER: SAIF M CHOUDHURY 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	1447540943
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7012133812
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150220002156
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHOUDHURY
	Individual professional last name
Provider First Name	SAIF
	Individual professional first 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	2010
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	TRANSITIONAL CARE MANAGEMENT ASSOCIATES LLC
	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	8022444108
	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	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1121 E LASALLE AVE
	Group Practice or individual's line 1 address
City	SOUTH BEND
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	466173321
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6789675599
	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	150089
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	270004
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BILLINGS CLINIC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	150056
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS)
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	150113
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	270049
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ST VINCENT HEALTHCARE
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1447540943)

HEALTHCARE PROVIDER: SAIF M CHOUDHURY M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information