Physician Compare National (NPI:1841429370)

HEALTHCARE PROVIDER: RAYANE NASSAR 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	1841429370
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608187463
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150619001070
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NASSAR
	Individual professional last name
Provider First Name	RAYANE
	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	2007
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	SAINT LUKES PHYSICIAN GROUP INC
	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	3577476894
	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	823
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1001 6TH AVE
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	LEAVENWORTH
	Group Practice or individual's city
State	KS
	Group Practice or individual's state
Zip Code	660483248
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	170068
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SOUTHWEST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	170122
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	VIA CHRISTI HOSPITAL-WICHITA
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	170123
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WESLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	371340
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	171378
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	KINGMAN COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1841429370)

HEALTHCARE PROVIDER: RAYANE NASSAR MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information