NPIMap

City of Detroit

A Medicare group practice based in Detroit, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1456312388), with 2 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1456312388The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
27In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20041022001114 MI Part B Supplier - Clinic/Group Practice 1033429394
O20100122000130 MI Part B Supplier - Ambulance Service Supplier 1477599900

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 2

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

Sources for this page