Physician Compare National (NPI:1548615875)

HEALTHCARE PROVIDER: YEHIA MOHAMED ELEBRASHI DPM

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

Individual Professional Information
NPI	1548615875
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830425651
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190731001601
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ELEBRASHI
	Individual professional last name
Provider First Name	YEHIA
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	10204 W HAPPY VALLEY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 160
	Group Practice or individual's line 2 address
City	PEORIA
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	853832880
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	030092
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HONORHEALTH DEER VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	030014
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HONORHEALTH JOHN C LINCOLN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y