Physician Compare National (NPI:1609071661)

HEALTHCARE PROVIDER: FARAZ MASOOD 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	1609071661
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426242066
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140410000021
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MASOOD
	Individual professional last name
Provider First Name	FARAZ
	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	2000
	Individual professional's medical school graduation year
Primary Specialty	HOSPITALIST
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	16021 KAIROS RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	SOUTH CHESTERFIELD
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	238345208
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490022
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MARY WASHINGTON HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490145
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	STONESPRINGS HOSPITAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	490067
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SOUTHSIDE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y