Physician Compare National (NPI:1619943388)

HEALTHCARE PROVIDER: JAYANTILAL D BHIMANI 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	1619943388
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002901634
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070927000573
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BHIMANI
	Individual professional last name
Provider First Name	JAYANTILA
	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	1980
	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
Organization Legal Name	PREMIER PHYSICIANS CENTERS 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	0345153326
	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	39
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2709 FRANKLIN BLVD
	Group Practice or individual's line 1 address
City	CLEVELAND
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	441132993
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2166964140
	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	360087
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LUTHERAN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360037
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST VINCENT CHARITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360180
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CLEVELAND CLINIC
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360077
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	FAIRVIEW HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	360172
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	MERCY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1619943388)

HEALTHCARE PROVIDER: JAYANTILAL D BHIMANI MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information