Indiana University

A Medicare group practice based in Indianapolis, IN: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 6002806957), with 119 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6002806957The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Oral Surgery - Dentist, DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in
IN
Enrollments
6
Group size
64 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 2 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20040513001109 IN Part B Supplier - Clinic/Group Practice 1497799787
O20040602001625 IN Part B Supplier - Clinic/Group Practice 1689790552
O20100930052039 IN DME Supplier - Physician - Optometrist 1497799787
O20110721000600 IN DME Supplier - Physician - Optometrist 1174566921
O20221012000151 IN DME Supplier - Oral Surgery - Dentist 1689790552
O20160419002338 IN Part B Supplier - Clinic/Group Practice 1982693743

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 119

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (119) or whom Care Compare lists as members (64).

Sources for this page