Physician Compare National (NPI:1700132727)

HEALTHCARE PROVIDER: AREF A BIN ABDULHAK 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	1700132727
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890008908
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20161027000966
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BIN ABDULHAK
	Individual professional last name
Provider First Name	AREF
	Individual professional first name
Provider Middle Name	A
	Individual professional middle 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	2003
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL CARDIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ST LUKES METHODIST HOSPITAL
	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	6608786751
	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	66
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	202 10TH ST SE
	Group Practice or individual's line 1 address
Line 2 Street Address	225 UNITY POINT HEALTH CEDAR RAPIDS CARDIO CLINIC
	Group Practice or individual's line 2 address
City	CEDAR RAPIDS
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	524032419
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3193685757
	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	160045
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST LUKES HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	500025
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SWEDISH MEDICAL CENTER / CHERRY HILL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	501336
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MASON GENERAL HOSPITAL & FAMILY OF CLINICS
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y