Physician Compare National (NPI:1609187186)

HEALTHCARE PROVIDER: MONISH MERCHANT 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	1609187186
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9436444320
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20171019002776
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MERCHANT
	Individual professional last name
Provider First Name	MONISH
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CENTERS FOR PAIN CONTROL, INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7416019450
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	13
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	204 LEGACY PLAZA W
	Group Practice or individual's line 1 address
City	LAPORTE
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	463505285
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2193267246
	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	150023
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNION HOSPITAL INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150190
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	151326
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	UNION HOSPITAL CLINTON
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	150188
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	141320
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	PARIS COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y