NPIMap

Martin Luther King Jr Family Clinic

A Medicare group practice based in Dallas, TX: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1456248673), with 18 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1456248673The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
6
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 2 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20240910000051 TX Part A Provider - Federally Qualified Health Center (FQHC) 1851492557
O20240905000573 TX Part A Provider - Federally Qualified Health Center (FQHC) 1851492557
O20111201000398 TX Part A Provider - Federally Qualified Health Center (FQHC) 1851492557
O20140407000267 TX Part A Provider - Federally Qualified Health Center (FQHC) 1851492557
O20220429001935 TX Part A Provider - Federally Qualified Health Center (FQHC) 1851492557
O20040302001300 TX Part B Supplier - Clinic/Group Practice 1851492557

NPIs in this group 2

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 18

Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (6).

Sources for this page