Physician Compare National (NPI:1710240395)

HEALTHCARE PROVIDER: CHINTAN PATEL 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	1710240395
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173879673
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180712001934
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PATEL
	Individual professional last name
Provider First Name	CHINTAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SAINT VINCENT PHYSICIAN SERVICES INC
	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	8921056276
	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	83
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	85 PRESCOTT ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 403
	Group Practice or individual's line 2 address
City	WORCESTER
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	016052671
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5087537259
	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	300017
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PARKLAND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	300011
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST JOSEPH HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	300020
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SOUTHERN NH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y