Physician Compare National (NPI:1851512800)

HEALTHCARE PROVIDER: MAYSA ALI RIDHA 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	1851512800
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7911159421
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121208000020
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RIDHA
	Individual professional last name
Provider First Name	MAYSA
	Individual professional first name
Provider Middle Name	A
	Individual professional middle 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	1988
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	13400 N MERIDIAN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 283
	Group Practice or individual's line 2 address
City	CARMEL
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	460327103
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	150007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COMMUNITY HOWARD REGIONAL HEALTH INC.
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	151308
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST VINCENT MERCY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	150084
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST. VINCENT HOSPITALS AND HEALTH SERVICES
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y