Physician Compare National (NPI:1669434163)

HEALTHCARE PROVIDER: ROBERT MARTIN BETZU 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	1669434163
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224164694
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100325000310
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BETZU
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	FORDHAM UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BAY AREA CARDIOLOGY ASSOC. PA
	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	4688637598
	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	21
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3920 GALEN CT
	Group Practice or individual's line 1 address
City	SUN CITY CENTER
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	335736817
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8136347200228
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y