Physician Compare National (NPI:1710304977)

HEALTHCARE PROVIDER: SHEEMA SAMDANI D.O

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

Individual Professional Information
NPI	1710304977
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113145582
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170816003135
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SAMDANI
	Individual professional last name
Provider First Name	SHEEMA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CENTURY INTEGRATED PARTNERS, 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	6406151703
	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	150
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1400 8TH AVE
	Group Practice or individual's line 1 address
City	FORT WORTH
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	761044110
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8179262544
	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	450108
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CONNALLY MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	670108
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450237
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CHRISTUS SANTA ROSA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y