Physician Compare National (NPI:1881867018)

HEALTHCARE PROVIDER:

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1881867018
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153477195
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150618001155
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GNANASEKERAM
	Individual professional last name
Provider First Name	HARI
	Individual professional first 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	1999
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2601 BELMAR BLVD
	Group Practice or individual's line 1 address
City	WALL
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	077194167
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390151
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHAMBERSBURG HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390013
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EVANGELICAL COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390138
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WAYNESBORO HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	390204
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	NAZARETH HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	390006
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	GEISINGER MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1881867018)

HEALTHCARE PROVIDER:

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information