Physician Compare National (NPI:1912060344)

HEALTHCARE PROVIDER: SAMEER ANILKUMAR PATEL 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	1912060344
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557468469
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070622000324
	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	SAMEER
	Individual professional first 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	RUTGERS NEW JERSEY MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FOX CHASE CANCER CENTER MEDICAL GROUP, INC
	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	8123289550
	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	216
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2365 HERITAGE CTR DR
	Group Practice or individual's line 1 address
City	FURLONG
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	189251280
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2157282662
	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	390196
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOSPITAL OF THE FOX CHASE CANCER CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390027
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TEMPLE UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390142
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ALBERT EINSTEIN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y