NPIMap

St Charles Hospital Corp

A Medicare group practice based in Port Jefferson, NY: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6103733050), with 224 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6103733050The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
FL, NC, NJ, NY, PA
Enrollments
7
Group size
62 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
42In 29 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20020904000011 NY Part A Provider - Hospital 1164481529
O20050205000015 NY Part B Supplier - Clinic/Group Practice 1497765630
O20250830000711 NJ Part B Supplier - Clinic/Group Practice 1497765630
O20250605003960 FL Part B Supplier - Clinic/Group Practice 1497765630
O20251209003306 PA Part B Supplier - Clinic/Group Practice 1497765630
O20251203001386 NC Part B Supplier - Clinic/Group Practice 1497765630
O20090408000323 NY Part A Provider - Hospital 1225097652

NPIs in this group 3

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 224

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (224) or whom Care Compare lists as members (62).

Sources for this page