Physician Compare National (NPI:1568802825)

HEALTHCARE PROVIDER: MOHAMMAD MONWAR HUSAIN 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	1568802825
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153602362
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20161230001360
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUSAIN
	Individual professional last name
Provider First Name	MOHAMMAD
	Individual professional first name
Provider Middle Name	MONWAR
	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	2004
	Individual professional's medical school graduation year
Primary Specialty	HOSPITALIST
	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
Organization Legal Name	PREMIER INPATIENT PARTNERS 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	3476832528
	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	45
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	350 7TH ST N
	Group Practice or individual's line 1 address
City	NAPLES
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	341025754
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2396245000
	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	100286
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100220
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100012
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LEE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y