Physician Compare National (NPI:1932542602)

HEALTHCARE PROVIDER: KOMAL D. KOYA D.O

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

Individual Professional Information
NPI	1932542602
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5496057689
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20161011000303
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KOYA
	Individual professional last name
Provider First Name	KOMAL
	Individual professional first name
Provider Middle Name	DOLAR
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	HOSPITALIST
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	DERMATOLOGY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3	INTERNAL MEDICINE
	Third secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY), DERMATOLOGY, INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	333 CHESTNUT ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 205
	Group Practice or individual's line 2 address
City	HINSDALE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	605213700
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6306543376
	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	140065
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ADVENTIST LA GRANGE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140122
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HINSDALE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y