Physician Compare National (NPI:1720284805)

HEALTHCARE PROVIDER: RASHID EHSAN 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	1720284805
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931275518
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080904000757
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EHSAN
	Individual professional last name
Provider First Name	RASHID
	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	1989
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	INGLESIDE PHYSICIAN SERVICES, LLC
	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	6103174255
	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	13
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1 ARC LANE
	Group Practice or individual's line 1 address
City	LOW MOOR
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	24457
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5408626011
	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	490110
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LEWISGALE HOSPITAL MONTGOMERY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490116
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LEWISGALE HOSPITAL PULASKI
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	490126
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LEWISGALE HOSPITAL ALLEGHANY
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	491302
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CARILION GILES COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	490111
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	WYTHE COUNTY COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1720284805)

HEALTHCARE PROVIDER: RASHID EHSAN MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information