Physician Compare National (NPI:1982615852)

HEALTHCARE PROVIDER: JOEL JOSE C VALCARCEL 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	1982615852
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2264521921
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071203000422
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VALCARCEL
	Individual professional last name
Provider First Name	JOEL
	Individual professional first name
Provider Middle Name	C
	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	2000
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FORT WAYNE MEDICAL EDUCATION PROGRAM
	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	2860387933
	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	27
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	750 BROADWAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 350
	Group Practice or individual's line 2 address
City	FORT WAYNE
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	468021412
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2604232675
	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	150101
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PARKVIEW WHITLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150017
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LUTHERAN HOSPITAL OF INDIANA
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	150047
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST JOSEPH HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y