Physician Compare National (NPI:1699865758)

HEALTHCARE PROVIDER: PIROOZ SABOORTINAT MOFRAD 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	1699865758
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507965266
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20191211002773
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MOFRAD
	Individual professional last name
Provider First Name	PIROOZ
	Individual professional first name
Provider Middle Name	SABOORTINAT
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	CARDIAC ELECTROPHYSIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	11236 ROBINWOOD DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 202
	Group Practice or individual's line 2 address
City	HAGERSTOWN
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	217426802
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	210016
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	210001
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERITUS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	210022
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SUBURBAN HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y