NPIMap

Granger Medical Specialists LLC

A Medicare group practice based in Salt Lake City, UT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4587074356), with 242 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4587074356The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, Part B Supplier - Clinic/Group Practice
Enrolled in
UT
Enrollments
3
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20201105002207 UT Part B Supplier - Clinic/Group Practice 1376159368
O20220221000924 UT DME Supplier - Multi-Specialty - Physician 1376159368
O20230601002054 UT DME Supplier - Multi-Specialty - Physician 1497441539

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 242

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (242) or whom Care Compare lists as members (5).

Sources for this page