Physician Compare National (NPI:1548234883)

HEALTHCARE PROVIDER: NYAMBI EBIE 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	1548234883
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5294787677
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050513000357
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EBIE
	Individual professional last name
Provider First Name	NYAMBI
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1971
	Individual professional's medical school graduation year
Primary Specialty	HEMATOLOGY/ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	6111 HARRISON ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 331
	Group Practice or individual's line 2 address
City	MERRILLVILLE
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	464102972
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	150002
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	METHODIST HOSPITALS INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140181
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SOUTH SHORE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140068
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ROSELAND COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	140048
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ADVOCATE TRINITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y