Physician Compare National (NPI:1992817191)

HEALTHCARE PROVIDER: A. K. MATHEW 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	1992817191
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4880882117
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101230000346
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MATHEW
	Individual professional last name
Provider First Name	AYKARAKUTTIYIL
	Individual professional first name
Provider Middle Name	K
	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	1969
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ENDOCRINOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ENDOCRINOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3600 W ROOSEVELT RD
	Group Practice or individual's line 1 address
City	CHICAGO
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	606244225
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7736386761
	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	140095
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT ANTHONY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140133
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HOLY CROSS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140115
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	THOREK MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y