Physician Compare National (NPI:1588704381)

HEALTHCARE PROVIDER: HEYER C DEVARAPALLI 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	1588704381
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5991892549
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071030000466
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DEVARAPALLI
	Individual professional last name
Provider First Name	HEYER
	Individual professional first name
Provider Middle Name	CP
	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	1996
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1601 TANGLEWOOD AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 106
	Group Practice or individual's line 2 address
City	HANOVER PARK
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	601333381
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140252
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHWEST COMMUNITY HOSPITAL 1
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140290
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST ALEXIUS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y