Physician Compare National (NPI:1992965156)

HEALTHCARE PROVIDER: VIKAS JAIN 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	1992965156
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1850548421
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190515002991
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JAIN
	Individual professional last name
Provider First Name	VIKAS
	Individual professional first 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	2008
	Individual professional's medical school graduation year
Primary Specialty	SLEEP MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5899 PRESTON RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 701
	Group Practice or individual's line 2 address
City	FRISCO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750349592
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	451379
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CORYELL MEMORIAL HEALTHCARE SYSTEM
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y