Physician Compare National (NPI:1780644526)

HEALTHCARE PROVIDER: MATTHEW JOSEPH HUMMEL 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	1780644526
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8022030543
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100714000270
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUMMEL
	Individual professional last name
Provider First Name	MATTHEW
	Individual professional first name
Provider Middle Name	JOSEPH
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	16838 E PALISADES BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE C153
	Group Practice or individual's line 2 address
City	FOUNTAIN HILLS
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	852683791
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	030087
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	030038
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SCOTTSDALE OSBORN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y