Physician Compare National (NPI:1497040703)

HEALTHCARE PROVIDER: ANIK JANARDAN AMIN 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	1497040703
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062723034
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160615002031
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AMIN
	Individual professional last name
Provider First Name	ANIK
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BAYLOR COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	VIRGINIA MASON MEDICAL CENTER
	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	9830002617
	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	780
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1100 9TH AVE
	Group Practice or individual's line 1 address
City	SEATTLE
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	981012756
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450015
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PARKLAND HEALTH & HOSPITAL SYSTEM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450044
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	UT SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR.
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y