Physician Compare National (NPI:1528148947)

HEALTHCARE PROVIDER: SANTHI PENMETSA 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	1528148947
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2264629666
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101210000903
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PENMETSA
	Individual professional last name
Provider First Name	SANTHI
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	RHEUMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	423 E MAIN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1
	Group Practice or individual's line 2 address
City	MIDLOTHIAN
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	760653345
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450447
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NAVARRO REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y