Physician Compare National (NPI:1588644488)

HEALTHCARE PROVIDER: AMEENA ANEES 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	1588644488
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557423613
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120517000197
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ANEES
	Individual professional last name
Provider First Name	AMEENA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1994
	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	1527 UNION AVE
	Group Practice or individual's line 1 address
City	MOBERLY
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	652709407
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	261313
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MACON COUNTY SAMARITAN MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	260068
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BOONE HOSPITAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	260074
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MOBERLY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	260022
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	NORTHEAST REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y