Physician Compare National (NPI:1760807622)

HEALTHCARE PROVIDER: RAHUL SAO 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	1760807622
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981985926
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180517000601
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SAO
	Individual professional last name
Provider First Name	RAHUL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	2016
	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	HOSPITALIST
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HOSPITALIST
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN AND BRADLEY MEMORIA
	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	6507776564
	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	191
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	100 GRAND ST
	Group Practice or individual's line 1 address
City	NEW BRITAIN
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	060522016
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	070025
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HARTFORD HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	070017
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MIDSTATE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	070024
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WILLIAM W BACKUS HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	070011
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CHARLOTTE HUNGERFORD HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y