Physician Compare National (NPI:1598733651)

HEALTHCARE PROVIDER: NISHA L BHATIA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1598733651
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951402114
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070718000698
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BHATIA
	Individual professional last name
Provider First Name	NISHA
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	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	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	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
Line 1 Street Address	5555 W THUNDERBIRD RD
	Group Practice or individual's line 1 address
City	GLENDALE
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	853064622
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6025885555
	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	030089
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BANNER THUNDERBIRD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	030094
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ARROWHEAD HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	030061
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BANNER BOSWELL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	M