Physician Compare National (NPI:1457668139)

HEALTHCARE PROVIDER: HASSAN A ELHEWAN 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	1457668139
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5991947038
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130820000331
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ELHEWAN
	Individual professional last name
Provider First Name	HASSAN
	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	2001
	Individual professional's medical school graduation year
Primary Specialty	HOSPITALIST
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3248 CORTONA DR
	Group Practice or individual's line 1 address
City	MELBOURNE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	329408613
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	151329
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MARGARET MARY COMMUNITY HOSPITAL INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	151322
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PERRY COUNTY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100092
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WUESTHOFF MEDICAL CENTER ROCKLEDGE
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	340042
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ONSLOW MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	100217
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	STEWARD SEBASTIAN RIVER MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	M

Physician Compare National (NPI:1457668139)

HEALTHCARE PROVIDER: HASSAN A ELHEWAN M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information