NPIMap

Moazam PA

A Medicare group practice based in El Paso, TX: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4486815008), with 15 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4486815008The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CO, NM, TX
Enrollments
3
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 6 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20120409000135 TX Part B Supplier - Clinic/Group Practice 1699043166
O20160818001314 CO Part B Supplier - Clinic/Group Practice 1699043166
O20161019002405 NM Part B Supplier - Clinic/Group Practice 1699043166

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 15

Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (2).

Sources for this page