Physician Compare National (NPI:1861760985)

HEALTHCARE PROVIDER: ANKUR KHOSLA 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	1861760985
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779723820
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130712000504
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KHOSLA
	Individual professional last name
Provider First Name	ANKUR
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	UNIVERSITY MEDICAL GROUP PLLC
	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	0547591695
	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	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	9305 PINECROFT DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 104
	Group Practice or individual's line 2 address
City	SHENANDOAH
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	773803482
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2818960013
	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	450184
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL HERMANN HOSPITAL SYSTEM
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y