Physician Compare National (NPI:1699881649)

HEALTHCARE PROVIDER: SHIKARIPUR D MANJUNATH 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	1699881649
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557337391
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040902001437
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MANJUNATH
	Individual professional last name
Provider First Name	SHIKARIPUR
	Individual professional first name
Provider Middle Name	D
	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	OTHER
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3351 WATERVIEW PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	ENCOMPASS REHAB HOSP
	Group Practice or individual's line 2 address
City	RICHARDSON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750801449
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450403
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDICAL CENTER OF MCKINNEY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450352
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HUNT REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450537
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	METHODIST RICHARDSON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	M