Physician Compare National (NPI:1740410968)

HEALTHCARE PROVIDER: MEHUL R VORA 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	1740410968
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072791862
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110627000284
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VORA
	Individual professional last name
Provider First Name	MEHUL
	Individual professional first name
Provider Middle Name	R
	Individual professional middle 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	2000
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	WHITING MEDICAL CENTER S C
	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	1456486539
	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	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2075 INDIANAPOLIS BLVD
	Group Practice or individual's line 1 address
City	WHITING
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	463941948
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2196597000
	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	150125
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140062
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PALOS COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140213
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SILVER CROSS HOSPITAL AND MEDICAL CENTERS
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	150008
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST CATHERINE HOSPITAL INC
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y