Physician Compare National (NPI:1780642579)

HEALTHCARE PROVIDER: ANIL YAKHMI M.D.

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

Individual Professional Information
NPI	1780642579
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2264528629
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080718000017
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YAKHMI
	Individual professional last name
Provider First Name	ANIL
	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	1982
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	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
Line 1 Street Address	13914 SOUTHEASTERN PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 308
	Group Practice or individual's line 2 address
City	FISHERS
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	460377126
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3174159282
	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	150037
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HANCOCK REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150059
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	RIVERVIEW HEALTH
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	150181
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST VINCENT FISHERS HOSPITAL INC
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	150169
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	COMMUNITY HOSPITAL NORTH
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y