Physician Compare National (NPI:1801113733)

HEALTHCARE PROVIDER: MIRELA KRASNIQI 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	1801113733
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941522767
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150903001366
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KRASNIQI
	Individual professional last name
Provider First Name	MIRELA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	38 B GROVE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE LC
	Group Practice or individual's line 2 address
City	RIDGEFIELD
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	068774665
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	070033
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DANBURY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y