NPIMap

Trustees of Purdue University

A Medicare group practice based in Burlington, IN: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 2567373012), with 41 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2567373012The 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
IN
Enrollments
5
Group size
28 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 5 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20200821001390 IN Part B Supplier - Clinic/Group Practice 1619055712
O20100208000582 IN Part A Provider - Federally Qualified Health Center (FQHC) 1871794826
O20100208000590 IN Part A Provider - Federally Qualified Health Center (FQHC) 1477549731
O20160902000433 IN Part A Provider - Federally Qualified Health Center (FQHC) 1598111791
O20160226001154 IN Part A Provider - Federally Qualified Health Center (FQHC) 1295104669

NPIs in this group 5

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 41

Clinicians who reassign their Medicare benefits to this group (41) or whom Care Compare lists as members (28).

Sources for this page