Salt River Pima-Maricopa Indian Community

A Medicare group practice based in Scottsdale, AZ: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 6204078025), with 145 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6204078025The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Indian Health Services Facility, Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
TX
Enrollments
3
Group size
43 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20180108001704 TX Part B Supplier - Pharmacy 1790210755
O20150312001652 TX Part B Supplier - Clinic/Group Practice 1942668991
O20200414003567 TX Part A Provider - Indian Health Services Facility 1538583125

NPIs in this group 4

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 145

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (145) or whom Care Compare lists as members (43).

Sources for this page