Physician Compare National (NPI:1558802751)

HEALTHCARE PROVIDER: UMAR BHATTI DO

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

Individual Professional Information
NPI	1558802751
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3577897529
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190625000968
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BHATTI
	Individual professional last name
Provider First Name	UMAR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
	Individual professional's medical school
Graduation Year	2017
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	EMERGENCY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	EMERGENCY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	SOUTHEASTERN EMERGENCY PHYSICIANS LLC
	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	2466364997
	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	261
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	305 LANGDON ST
	Group Practice or individual's line 1 address
City	SOMERSET
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	425032750
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6066783110
	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	180049
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAPTIST HEALTH RICHMOND
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	180132
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LAKE CUMBERLAND REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	180080
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BAPTIST HEALTH CORBIN
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y