Physician Compare National (NPI:1578880274)

HEALTHCARE PROVIDER: DANIEL M BIRK 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	1578880274
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163732256
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170512000891
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BIRK
	Individual professional last name
Provider First Name	DANIEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	NEUROSURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NEUROLOGICAL SURGERY PC
	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	0345131785
	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	40
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	353 VETERANS MEMORIAL HWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 303
	Group Practice or individual's line 2 address
City	COMMACK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	117254325
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6318643900
	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	330185
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y