Individual Professional Information |
|
NPI
|
1487758108
|
|
Unique healthcare provider (clinician) ID assigned by NPPES
|
|
PECOS UID
|
6709913353
|
|
Unique individual clinician ID assigned by PECOS
|
|
Professional Enrollment ID
|
I20100429001219
|
|
Unique ID for the individual professional enrollment that is the source for the data in the observation
|
|
Provider Last Name
|
ROHRA
|
|
Individual professional last name
|
|
Provider First Name
|
LAKHU
|
|
Individual professional first name
|
|
Provider Middle Name
|
J
|
|
Individual professional middle name
|
|
Provider Gender
|
M
|
|
The provider's gender if the provider is a person.
|
Hospital(s) Affiliation Information |
|
Hospital Affiliation CCN 1
|
450876
|
|
Medicare CCN of hospital where individual professional provides service 1
|
|
Hospital Affiliation LBN 1
|
LUBBOCK HEART HOSPITAL LP
|
|
Legal business name of hospital where individual professional provides service 1
|
|
Hospital Affiliation CCN 2
|
450040
|
|
Medicare CCN of hospital where individual professional provides service 2
|
|
Hospital Affiliation LBN 2
|
COVENANT MEDICAL CENTER
|
|
Legal business name of hospital where individual professional provides service 2
|
|
Hospital Affiliation CCN 3
|
450686
|
|
Medicare CCN of hospital where individual professional provides service 3
|
|
Hospital Affiliation LBN 3
|
UNIVERSITY MEDICAL CENTER
|
|
Legal business name of hospital where individual professional provides service 3
|
|
Hospital Affiliation CCN 4
|
453306
|
|
Medicare CCN of hospital where individual professional provides service 4
|
|
Hospital Affiliation LBN 4
|
COVENANT CHILDRENS HOSPITAL
|
|
Legal business name of hospital where individual professional provides service 4
|
|
Professional Accepts Medicare Assignment
|
Y
|
|
|