Physician Compare National (NPI:1720271331)

HEALTHCARE PROVIDER: MOHAMMAD DAAIF 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	1720271331
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1850565714
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190502000997
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DAAIF
	Individual professional last name
Provider First Name	MOHAMMAD
	Individual professional first 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	2006
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	RUSH UNIVERSITY MEDICAL CENTER
	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	6709774987
	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	76
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1725 W HARRISON ST
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	CHICAGO
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	606123841
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	040114
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140029
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	COPLEY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y