Physician Compare National (NPI:1902822760)

HEALTHCARE PROVIDER: TAREK BITTAR 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	1902822760
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547248965
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060209000385
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BITTAR
	Individual professional last name
Provider First Name	TAREK
	Individual professional first name
Provider Middle Name	YOUSSEF
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	25751 MCBEAN PKWY
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	VALENCIA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	913553701
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050624
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HENRY MAYO NEWHALL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050278
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PROVIDENCE HOLY CROSS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y