Physician Compare National (NPI:1710194055)

HEALTHCARE PROVIDER: VIDHI AGGARWAL GUPTA 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	1710194055
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7214022763
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100408000301
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GUPTA
	Individual professional last name
Provider First Name	VIDHI
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FOUNDATION RADIOLOGY GROUP PC
	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	3779683537
	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	91
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1 NOLTE DR
	Group Practice or individual's line 1 address
City	KITTANNING
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	162017111
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7245438500
	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	390265
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JEFFERSON HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390041
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	UNIONTOWN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390009
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SAINT VINCENT HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y