Physician Compare National (NPI:1477506772)

HEALTHCARE PROVIDER: GIULIO ISIDORO CAVALLI 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	1477506772
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618974486
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100306000190
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CAVALLI
	Individual professional last name
Provider First Name	GIULIO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	195 S ST
	Group Practice or individual's line 1 address
City	PITTSFIELD
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	012016866
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	220046
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BERKSHIRE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	221302
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FAIRVIEW HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y