Physician Compare National (NPI:1568556512)

HEALTHCARE PROVIDER: RIYADH S HAMMOD 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	1568556512
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931134632
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081202000571
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HAMMOD
	Individual professional last name
Provider First Name	RIYADH
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1103 W SHERMAN AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	BLDG 2 UNIT A
	Group Practice or individual's line 2 address
City	VINELAND
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	083606915
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310032
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	INSPIRA MEDICAL CENTER VINELAND
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310069
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	INSPIRA MEDICAL CENTER ELMER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y