Open Door Health Services Inc

A Medicare group practice based in Muncie, IN: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 5890696603), with 58 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5890696603The 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, Part B Supplier - Pharmacy
Enrolled in
IN
Enrollments
9
Group size
40 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 3 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20060717000230 IN Part A Provider - Federally Qualified Health Center (FQHC) 1770510240
O20040115000592 IN Part B Supplier - Clinic/Group Practice 1770510240
O20240617001838 IN Part B Supplier - Pharmacy 1518679570
O20240510000259 IN Part A Provider - Federally Qualified Health Center (FQHC) 1245094028
O20250430002213 IN Part A Provider - Federally Qualified Health Center (FQHC) 1376349316
O20190409002391 IN Part A Provider - Federally Qualified Health Center (FQHC) 1104133511
O20220311000484 IN Part A Provider - Federally Qualified Health Center (FQHC) 1144974155
O20100816000186 IN Part A Provider - Federally Qualified Health Center (FQHC) 1902851082
O20100818000098 IN Part A Provider - Federally Qualified Health Center (FQHC) 1508811910

NPIs in this group 10

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 58

Clinicians who reassign their Medicare benefits to this group (58) or whom Care Compare lists as members (40).

Sources for this page