Physician Compare National (NPI:1780946194)

HEALTHCARE PROVIDER: SARAH DIANE VODOPEST 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	1780946194
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355584434
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170717003281
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VODOPEST
	Individual professional last name
Provider First Name	SARAH
	Individual professional first name
Provider Middle Name	DIANE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	RHEUMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MID-AMERICA RHEUMATOLOGY CONSULTANTS
	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	1951202852
	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	7
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	5701 W 119TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 209
	Group Practice or individual's line 2 address
City	OVERLAND PARK
	Group Practice or individual's city
State	KS
	Group Practice or individual's state
Zip Code	662099999
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9136619980
	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	170104
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SHAWNEE MISSION MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	170182
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MENORAH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	260138
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST LUKES HOSPITAL OF KANSAS CITY
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y