Physician Compare National (NPI:1861655755)

HEALTHCARE PROVIDER: HANSEL JAVIER OTERO 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	1861655755
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941439517
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170815000237
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OTERO
	Individual professional last name
Provider First Name	HANSEL
	Individual professional first name
Provider Middle Name	JAVIER
	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	2002
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PEDIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PEDIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	RADIOLOGY ASSOCIATES OF CHILDREN'S HOSPITAL
	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	0345154399
	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	26
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	34 TH ST AND CIVIC CTR BLVD
	Group Practice or individual's line 1 address
City	PHILADELPHIA
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	19101
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2155902575
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y