Physician Compare National (NPI:1548221054)

HEALTHCARE PROVIDER: BENJAMIN OPARA 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	1548221054
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3971649419
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091014000073
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OPARA
	Individual professional last name
Provider First Name	BENJAMIN
	Individual professional first name
Provider Middle Name	I
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1974
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MARYLAND GENERAL CLINICAL PRACTICE GROUP, 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	8123926649
	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	35
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	827 LINDEN AVE
	Group Practice or individual's line 1 address
City	BALTIMORE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	212014606
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4102258446
	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	210038
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY OF MD MEDICAL CENTER MIDTOWN CAMPUS
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y