Physician Compare National (NPI:1881843662)

HEALTHCARE PROVIDER: ACHALA DONURU 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	1881843662
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426115957
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090326000607
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DONURU
	Individual professional last name
Provider First Name	ACHALA
	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	1998
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES 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	7315845708
	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	62
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3 CRESCENT DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1002
	Group Practice or individual's line 2 address
City	PHILADELPHIA
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	191121016
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2155034900
	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	390174
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	THOMAS JEFFERSON UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390115
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ARIA HEALTH
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	310086
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	JEFFERSON STRATFORD HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	390026
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CHESTNUT HILL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	310032
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	INSPIRA MEDICAL CENTER VINELAND
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1881843662)

HEALTHCARE PROVIDER: ACHALA DONURU M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information