Physician Compare National (NPI:1598773632)

HEALTHCARE PROVIDER: THIRUVOIPATI NANDAKUMAR 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	1598773632
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355231879
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071023000447
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NANDAKUMAR
	Individual professional last name
Provider First Name	THIRUVOIPATI
	Individual professional first 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	1978
	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	2801 EUREKA WAY
	Group Practice or individual's line 1 address
City	REDDING
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	960010222
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5302469000
	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	050280
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY MEDICAL CENTER REDDING
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050764
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SHASTA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050006
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST JOSEPH HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050042
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST ELIZABETH COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y