Physician Compare National (NPI:1881860484)

HEALTHCARE PROVIDER: VIJAYA M DASARI 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	1881860484
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355403445
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130701000035
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DASARI
	Individual professional last name
Provider First Name	VIJAYA
	Individual professional first name
Provider Middle Name	MADHAVI
	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	2001
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3304 COLORADO BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 205
	Group Practice or individual's line 2 address
City	DENTON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	762106877
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450634
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDICAL CITY DENTON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450743
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450669
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEDICAL CENTER OF LEWISVILLE
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	670068
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y