Physician Compare National (NPI:1497014534)

HEALTHCARE PROVIDER: BO CUI 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	1497014534
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4183915119
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170922002898
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CUI
	Individual professional last name
Provider First Name	BO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	UNDERSEA AND HYPERBARIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	UNDERSEA AND HYPERBARIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	7500 MERCY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 130
	Group Practice or individual's line 2 address
City	OMAHA
	Group Practice or individual's city
State	NE
	Group Practice or individual's state
Zip Code	681242319
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	280060
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHI HEALTH BERGAN MERCY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	280081
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHI HEALTH IMMANUEL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	280130
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CHI HEALTH LAKESIDE
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y