NPIMap

The Shangri-la Corporation

A Medicare group practice based in Salem, OR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5294086450), with 5 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5294086450The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
OR
Enrollments
1
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20180926004223 OR Part B Supplier - Clinic/Group Practice 1053858993

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 5

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (2).

Sources for this page