NPIMap

Vitality Ageless Center LLC

A Medicare group practice based in Carmel, IN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6800135872), with 51 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6800135872The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CA, CO, FL, GA, IL, IN, SC, TN
Enrollments
8
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 8 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20190325002304 GA Part B Supplier - Clinic/Group Practice 1730657271
O20240628000026 FL Part B Supplier - Clinic/Group Practice 1730657271
O20240920001696 CA Part B Supplier - Clinic/Group Practice 1730657271
O20250703000766 SC Part B Supplier - Clinic/Group Practice 1730657271
O20250227003637 TN Part B Supplier - Clinic/Group Practice 1326843277
O20250203002436 IL Part B Supplier - Clinic/Group Practice 1730657271
O20250217001207 CO Part B Supplier - Clinic/Group Practice 1730657271
O20250110002087 IN Part B Supplier - Clinic/Group Practice 1730657271

NPIs in this group 2

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 51

Clinicians who reassign their Medicare benefits to this group (51) or whom Care Compare lists as members (3).

Sources for this page