Physician Compare National (NPI:1619185584)

HEALTHCARE PROVIDER: AJAY KUMAR JOSHI M.D., MRCP, FACC

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

Individual Professional Information
NPI	1619185584
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355437161
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071009000887
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JOSHI
	Individual professional last name
Provider First Name	AJAY
	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	1992
	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	INTERVENTIONAL CARDIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERVENTIONAL CARDIOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1600 CREEKSIDE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3300
	Group Practice or individual's line 2 address
City	FOLSOM
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	956303486
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050516
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY SAN JUAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050414
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY HOSPITAL OF FOLSOM
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M