Physician Compare National (NPI:1811333735)

HEALTHCARE PROVIDER: VIVEK CHERIAN 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	1811333735
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345546560
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190408001820
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHERIAN
	Individual professional last name
Provider First Name	VIVEK
	Individual professional first name
Provider Middle Name	ALFRED
	Individual professional middle 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	2013
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HOSPITALIST
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HOSPITALIST
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	MEDSTAR GOOD SAMARITAN PHYSICIANS LLC
	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	1153542980
	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	114
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	5601 LOCH RAVEN BLVD
	Group Practice or individual's line 1 address
City	BALTIMORE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	212392945
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4434448000
	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	210015
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDSTAR FRANKLIN SQUARE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	210024
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEDSTAR UNION MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	210056
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEDSTAR GOOD SAMARITAN HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	210063
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y