NPIMap

Modern Sports Medicine LLC

A Medicare group practice based in Mesa, AZ: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 6800228479), with 57 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6800228479The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Independently-Practicing Physical Therapist, DME Supplier - Physician - Family Practice, DME Supplier - Physician - General Practice, Part B Supplier - Clinic/Group Practice
Enrolled in
AZ
Enrollments
5
Group size
40 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
16In 9 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20191120000879 AZ Part B Supplier - Clinic/Group Practice 1285295089
O20200127000761 AZ DME Supplier - Independently-Practicing Physical Therapist 1285295089
O20211007002245 AZ DME Supplier - Physician - General Practice 1942810833
O20230816002534 AZ DME Supplier - Physician - Family Practice 1912683699
O20230623002028 AZ DME Supplier - Physician - Family Practice 1871298000

NPIs in this group 6

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 57

Clinicians who reassign their Medicare benefits to this group (57) or whom Care Compare lists as members (40).

Sources for this page