NPIMap

La Clinica del Pueblo Inc

A Medicare group practice based in Hyattsville, MD: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3971490558), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3971490558The 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
DC, MD
Enrollments
3
Group size
18 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040228000337 DC Part B Supplier - Clinic/Group Practice 1124227590
O20071126000484 DC Part A Provider - Federally Qualified Health Center (FQHC) 1124227590
O20160921002121 MD Part A Provider - Federally Qualified Health Center (FQHC) 1194176834

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 25

Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (18).

Sources for this page