Physician Compare National (NPI:1902099146)

HEALTHCARE PROVIDER: KALPESH PATEL 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	1902099146
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2567519416
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090409000438
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PATEL
	Individual professional last name
Provider First Name	KALPESH
	Individual professional first name
Provider Middle Name	S
	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	2001
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	17075 DEVONSHIRE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 303
	Group Practice or individual's line 2 address
City	NORTHRIDGE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	913255412
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050126
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	VALLEY PRESBYTERIAN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050116
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NORTHRIDGE HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050704
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MISSION COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050278
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	PROVIDENCE HOLY CROSS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y