NPIMap

Paiute Indian Tribe of Utah

A Medicare group practice based in Kanosh, UT: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 3072414952), with 18 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3072414952The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Indian Health Services Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
TX, UT
Enrollments
6
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 6 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20040127000849 TX Part B Supplier - Clinic/Group Practice 1700062296
O20241126002275 UT Part A Provider - Indian Health Services Facility 1801063441
O20240716002350 UT Part A Provider - Indian Health Services Facility 1801063441
O20150804003665 UT Part A Provider - Indian Health Services Facility 1336316975
O20150803001143 UT Part A Provider - Indian Health Services Facility 1700062296
O20150803000383 UT Part A Provider - Indian Health Services Facility 1992972525

NPIs in this group 4

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 (7).

Sources for this page