Northshore Health Centers Inc

A Medicare group practice based in Lake Station, IN: 25 NPIs enrolled under one PECOS associate control ID (PAC ID 5799671236), with 128 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5799671236The 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
IN
Enrollments
23
Group size
31 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
44In 17 places

Enrollment records 23

Enrollment IDStateProvider typeNPI
O20040223001086 IN Part A Provider - Federally Qualified Health Center (FQHC) 1467490300
O20040603001258 IN Part A Provider - Federally Qualified Health Center (FQHC) 1407061336
O20071102000372 IN Part A Provider - Federally Qualified Health Center (FQHC) 1861636664
O20040827000220 IN Part B Supplier - Clinic/Group Practice 1114257300
O20201221000791 IN Part A Provider - Federally Qualified Health Center (FQHC) 1740887298
O20210901001323 IN Part A Provider - Federally Qualified Health Center (FQHC) 1639742224
O20210824001326 IN Part A Provider - Federally Qualified Health Center (FQHC) 1851966089
O20210823000393 IN Part A Provider - Federally Qualified Health Center (FQHC) 1255006862
O20210914000276 IN Part A Provider - Federally Qualified Health Center (FQHC) 1629649751
O20210721000660 IN Part A Provider - Federally Qualified Health Center (FQHC) 1568039915
O20211004001669 IN Part A Provider - Federally Qualified Health Center (FQHC) 1336810167
O20210616000139 IN Part A Provider - Federally Qualified Health Center (FQHC) 1639743651
O20211108002465 IN Part A Provider - Federally Qualified Health Center (FQHC) 1295498947
O20110504000296 IN Part A Provider - Federally Qualified Health Center (FQHC) 1356530505
O20110817000200 IN Part A Provider - Federally Qualified Health Center (FQHC) 1972895647
O20150615000552 IN Part A Provider - Federally Qualified Health Center (FQHC) 1568856045
O20140205000831 IN Part A Provider - Federally Qualified Health Center (FQHC) 1598196933
O20120601000538 IN Part A Provider - Federally Qualified Health Center (FQHC) 1477810315
O20131127000542 IN Part A Provider - Federally Qualified Health Center (FQHC) 1023440526
O20240705000111 IN Part A Provider - Federally Qualified Health Center (FQHC) 1932976495
O20240701000978 IN Part A Provider - Federally Qualified Health Center (FQHC) 1750145561
O20240530001439 IN Part A Provider - Federally Qualified Health Center (FQHC) 1336992999
O20240528003331 IN Part A Provider - Federally Qualified Health Center (FQHC) 1588417158

NPIs in this group 25

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 128

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (128) or whom Care Compare lists as members (31).

Sources for this page