St Vincent Pediatric Subspecialties

A Medicare group practice based in Indianapolis, IN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1557313939), with 305 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1557313939The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
IN
Enrollments
1
Group size
37 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
46In 14 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20050214000627 IN Part B Supplier - Clinic/Group Practice 1013967736

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 305

Page 1 of 4

Clinicians who reassign their Medicare benefits to this group (305) or whom Care Compare lists as members (37).

Sources for this page