Physician Compare National (NPI:1992749386)

HEALTHCARE PROVIDER: JAMES P MONDZELEWSKI 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	1992749386
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830161835
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110119000175
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MONDZELEWSKI
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	PETER
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	GLAUCOMA-CATARACT CONSULTANTS, 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	6204808207
	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	7
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1145 BOWER HILL RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 205
	Group Practice or individual's line 2 address
City	PITTSBURGH
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	152431347
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4125726121
	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	390228
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST CLAIR HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390147
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MONONGAHELA VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y