Physician Compare National (NPI:1528234135)

HEALTHCARE PROVIDER: DINA ABI FADEL 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	1528234135
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4880872209
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181120002437
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ABI FADEL
	Individual professional last name
Provider First Name	DINA
	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	2001
	Individual professional's medical school graduation year
Primary Specialty	CRITICAL CARE (INTENSIVISTS)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PULMONARY DISEASE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PULMONARY DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	BELLIN MEMORIAL HOSPITAL INC
	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	8820900749
	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	442
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	744 S WEBSTER AVE
	Group Practice or individual's line 1 address
City	GREEN BAY
	Group Practice or individual's city
State	WI
	Group Practice or individual's state
Zip Code	543013505
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9204336025
	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	490066
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	520049
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BELLIN MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	150021
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PARKVIEW REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y