Physician Compare National (NPI:1922088657)

HEALTHCARE PROVIDER: KALIPRASAD N AYALA 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	1922088657
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4486562196
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110913000424
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AYALA
	Individual professional last name
Provider First Name	KALIPRASAD
	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	2008
	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
Organization Legal Name	CARDIOVASCULAR CLINIC OF NEBRASKA LLC
	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	7113282401
	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	9
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	708 N 18TH ST
	Group Practice or individual's line 1 address
City	MARYSVILLE
	Group Practice or individual's city
State	KS
	Group Practice or individual's state
Zip Code	665081338
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7855624459
	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	171363
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COMMUNITY MEMORIAL HEALTHCARE, INC.
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	281336
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	YORK GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	281320
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	281324
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	NEMAHA COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	281352
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	COMMUNITY MEDICAL CENTER, INC.
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1922088657)

HEALTHCARE PROVIDER: KALIPRASAD N AYALA MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information