NPIMap

Main Street Radiology at Bayside LLC

A Medicare group practice based in New York, NY: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 5395732671), with 71 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5395732671The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CT, FL, MA, NJ, NY, UT, VA
Enrollments
7
Group size
56 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
69In 39 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20040428001019 NY Part B Supplier - Clinic/Group Practice 1780771634
O20221214000061 VA Part B Supplier - Clinic/Group Practice 1780771634
O20181029000570 CT Part B Supplier - Clinic/Group Practice 1780771634
O20170324000027 NJ Part B Supplier - Clinic/Group Practice 1780771634
O20251223001497 MA Part B Supplier - Clinic/Group Practice 1780771634
O20241010002040 UT Part B Supplier - Clinic/Group Practice 1780771634
O20251027004411 FL Part B Supplier - Clinic/Group Practice 1780771634

NPIs in this group 5

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 71

Clinicians who reassign their Medicare benefits to this group (71) or whom Care Compare lists as members (56).

Sources for this page