Saint James Hospital

A Medicare group practice based in Pontiac, IL: 16 NPIs enrolled under one PECOS associate control ID (PAC ID 0648187252), with 195 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0648187252The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
15
Group size
74 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
30In 10 places

Enrollment records 15

Enrollment IDStateProvider typeNPI
O20201215003080 IL Part A Provider - Rural Health Clinic 1891399432
O20221116000037 IL Part A Provider - Rural Health Clinic 1912622374
O20221108001471 IL Part A Provider - Rural Health Clinic 1447976113
O20221128001318 IL Part A Provider - Rural Health Clinic 1801511266
O20221108002508 IL Part A Provider - Rural Health Clinic 1205551652
O20221129001401 IL Part A Provider - Rural Health Clinic 1770208134
O20221108002152 IL Part A Provider - Rural Health Clinic 1245955608
O20221109000069 IL Part A Provider - Rural Health Clinic 1154046597
O20221109000111 IL Part A Provider - Rural Health Clinic 1437874898
O20221128001465 IL Part A Provider - Rural Health Clinic 1467178814
O20040804001073 IL Part B Supplier - Clinic/Group Practice 1790735421
O20050713000208 IL Part B Supplier - Clinic/Group Practice 1891399432
O20230404001008 IL Part A Provider - Rural Health Clinic 1164138848
O20100806000121 IL Part A Provider - Hospital 1407808090
O20100806000220 IL Part A Provider - Hospital 1023060613

NPIs in this group 16

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 195

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (192) or whom Care Compare lists as members (74).

Sources for this page