Physician Compare National (NPI:1992026496)

HEALTHCARE PROVIDER: NESREEN SALIM KHRAISHA M.D.

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

Individual Professional Information
NPI	1992026496
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8628380243
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181001001877
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KHRAISHA
	Individual professional last name
Provider First Name	NESREEN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	INFECTIOUS DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	OUR LADY OF BELLEFONTE HOSPITAL 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	8527964709
	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	11
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1000 SAINT CHRISTOPHER DR
	Group Practice or individual's line 1 address
City	ASHLAND
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	411017034
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6068333333
	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	521315
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MAYO CLINIC HEALTH SYSTEM-NORTHLAND
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050772
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	KAISER FOUNDATION HOSPITAL - ROSEVILLE
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y