Physician Compare National (NPI:1780836429)

HEALTHCARE PROVIDER: DEEPIKA KILARU 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	1780836429
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507929874
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090113000316
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KILARU
	Individual professional last name
Provider First Name	DEEPIKA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2850 E HWY 114
	Group Practice or individual's line 1 address
Line 2 Street Address	BAYLOR MEDICAL CENTER AT TROPHY CLU
	Group Practice or individual's line 2 address
City	TROPHY CLUB
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	762625302
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450563
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450883
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BAYLOR MEDICAL CENTER AT TROPHY CLUB
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y