Physician Compare National (NPI:1548422694)

HEALTHCARE PROVIDER: DAVID M DECHELLIS D.O.

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

Individual Professional Information
NPI	1548422694
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2668625542
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121228000118
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DECHELLIS
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PITTSBURGH PAIN PHYSICIANS
	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	8628218708
	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	119 VIP DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE G015
	Group Practice or individual's line 2 address
City	WEXFORD
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	150907976
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4125332202
	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	390157
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	OHIO VALLEY GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390036
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HERITAGE VALLEY BEAVER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y