State of Ohio Office of Budget and Management State Accounting

A Medicare group practice based in Columbus, OH: 29 NPIs enrolled under one PECOS associate control ID (PAC ID 0143133181), with 262 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0143133181The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
OH
Enrollments
9
Group size
109 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
27In 18 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20031202000209 OH Part B Supplier - Clinic/Group Practice 1023082716
O20061121000082 OH Part A Provider - Hospital 1891769998
O20061120000447 OH Part A Provider - Hospital 1710951835
O20061121000048 OH Part A Provider - Hospital 1063486058
O20061121000036 OH Part A Provider - Hospital 1083688097
O20061121000027 OH Part A Provider - Hospital 1194799114
O20061121000102 OH Part A Provider - Hospital 1023082716
O20070328000236 OH Part A Provider - Skilled Nursing Facility 1740373422
O20210920002909 OH Part A Provider - Skilled Nursing Facility 1790732576

NPIs in this group 29

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 262

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (261) or whom Care Compare lists as members (109).

Sources for this page