Physician Compare National (NPI:1508004094)

HEALTHCARE PROVIDER: MUHAMMAD YASIN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1508004094
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769652429
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150506001691
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YASIN
	Individual professional last name
Provider First Name	MUHAMMAD
	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	2005
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CRITICAL CARE (INTENSIVISTS)
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	GERIATRIC MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS), GERIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	IMPACT PHYSICIAN GROUP INDIANA PULMONARY SERVICES LLC
	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	4688008899
	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	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1700 W 10TH ST
	Group Practice or individual's line 1 address
City	INDIANAPOLIS
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	462223802
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6789675599
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	150044
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAPTIST HEALTH FLOYD
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	180040
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	JEWISH HOSPITAL & ST MARY'S HEALTHCARE
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	180088
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	NORTON HOSPITALS, INC
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	150009
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CLARK MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	M