NPIMap

City of Philadelphia

A Medicare group practice based in Philadelphia, PA: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 6305758723), with 166 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6305758723The 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 - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
PA
Enrollments
11
Group size
86 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
18In 1 place

Enrollment records 11

Enrollment IDStateProvider typeNPI
O20040220000911 PA Part B Supplier - Clinic/Group Practice 1942317094
O20050308000727 PA Part B Supplier - Ambulance Service Supplier 1255468435
O20180530001164 PA Part B Supplier - Independent Clinical Laboratory 1689688798
O20110118000324 PA Part A Provider - Federally Qualified Health Center (FQHC) 1417064353
O20110118000629 PA Part A Provider - Federally Qualified Health Center (FQHC) 1699882597
O20110118000935 PA Part A Provider - Federally Qualified Health Center (FQHC) 1144337189
O20110111000735 PA Part A Provider - Federally Qualified Health Center (FQHC) 1942317094
O20110118000691 PA Part A Provider - Federally Qualified Health Center (FQHC) 1023125085
O20110118000983 PA Part A Provider - Federally Qualified Health Center (FQHC) 1518074566
O20110118001019 PA Part A Provider - Federally Qualified Health Center (FQHC) 1740397769
O20110118000682 PA Part A Provider - Federally Qualified Health Center (FQHC) 1427165307

NPIs in this group 11

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 166

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (163) or whom Care Compare lists as members (86).

Sources for this page