Active Life Health of Cary PLLC
A Medicare group practice based in Cary, NC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1355878190), with 11 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1355878190
- Provider type
- DME Supplier - Physician - General Practice, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NC
- Enrollments
- 2
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20241218002065 | NC | Part B Supplier - Clinic/Group Practice | 1477395960 |
| O20250326001845 | NC | DME Supplier - Physician - General Practice | 1053153551 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Active Life Health of Cary PLLC
dba Arthritis Knee Pain Centers
- Durable Medical Equipment & Medical Supplies
- Cary, NC
- NPI 1053153551
-
Active Life Health of Cary PLLC
dba Arthritis Knee Pain Centers
- Physical Medicine & Rehabilitation Physician
- Cary, NC
- NPI 1477395960
Practice locations
- Cary, NC2
Clinicians 11
Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (5).
-
Eric Berkowitz, MD
- Vascular & Interventional Radiology Physician
- East Setauket, NY
- NPI 1508805805
-
Matthew Eugene Bonaventure, P.A-C
- Medical Physician Assistant
- Fuquay Varina, NC
- NPI 1104182195
-
Stephanie Cernuto, PA-C
- Physician Assistant
- Charlotte, NC
- NPI 1710531231
-
Thomas Michael Howard, MD
- Family Medicine Physician
- Cary, NC
- NPI 1437144714
-
Amit Paul Jangam, DO
- Family Medicine Physician
- Cary, NC
- NPI 1447749288
-
Timothy Devin Kallam, PA-C
- Physician Assistant
- Charlotte, NC
- NPI 1922610328
-
Christopher Francis Koch Jr., M.D.
- Diagnostic Radiology Physician
- Springfield, OH
- NPI 1558780262
-
Thomas Harvey Locke, MD
- Public Health & General Preventive Medicine Physician
- Novi, MI
- NPI 1770112724
-
John J Rush, MD
- Emergency Medicine Physician
- Spring, TX
- NPI 1851337281
-
Alex V Stock, MD
- Family Medicine Physician
- Concord, NC
- NPI 1467573980
-
Brandon Woo Ram Sur, MD
- Vascular & Interventional Radiology Physician
- Wilkes Barre, PA
- NPI 1518227180
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.