Physician Compare National (NPI:1801066733)

HEALTHCARE PROVIDER: CHUKWUDI EKE 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	1801066733
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7012078553
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200304002284
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EKE
	Individual professional last name
Provider First Name	CHUKWUDI
	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	1991
	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
Organization Legal Name	RURAL PHYSICIANS GROUP PANNU PLLC
	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	0345467486
	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	111
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4455 EDISON LAKES PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	100 UNITY MEDICAL AND SURGICAL HOSPITAL
	Group Practice or individual's line 2 address
City	MISHAWAKA
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	465451414
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3033901967
	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	450184
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL HERMANN HOSPITAL SYSTEM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450010
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	UNITED REGIONAL HEALTH CARE SYSTEM
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	451323
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ROLLINS BROOK COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y