Physician Compare National (NPI:1700048618)

HEALTHCARE PROVIDER: ADAM KHAN KAKAR MD, DO

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

Individual Professional Information
NPI	1700048618
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517957681
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111209000072
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KAKAR
	Individual professional last name
Provider First Name	ADAM
	Individual professional first name
Provider Middle Name	KHAN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BIG SPRINGS MEDICAL ASSOCIATION
	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	6709871007
	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	26
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	18 VIBURNUM CTR RD
	Group Practice or individual's line 1 address
City	VIBURNUM
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	655667802
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5732445406
	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	261336
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	IRON COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	261308
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WASHINGTON COUNTY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y