NPIMap

Curators of the University of Missouri

A Medicare group practice based in Columbia, MO: 22 NPIs enrolled under one PECOS associate control ID (PAC ID 6800704560), with 38 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6800704560The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Intensive Cardiac Rehabilitation, Part B Supplier - Mass Immunization (Roster Biller Only), Part B Supplier - Pharmacy
Enrolled in
IL, MO
Enrollments
17
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
146In 16 places

Enrollment records 17

Enrollment IDStateProvider typeNPI
O20040309001395 MO Part B Supplier - Clinic/Group Practice 1922190198
O20040309001373 MO Part B Supplier - Clinic/Group Practice 1679664718
O20040504000481 IL Part B Supplier - Clinic/Group Practice 1417049610
O20061219000471 MO Part A Provider - Hospital 1699769901
O20100317000803 MO Part A Provider - Hospital 1598993503
O20100930085343 MO DME Supplier - Pharmacy 1750375986
O20100930085326 MO DME Supplier - Pharmacy 1316931546
O20210514000624 MO DME Supplier - Pharmacy 1427645613
O20220902000495 MO Part B Supplier - Intensive Cardiac Rehabilitation 1699769901
O20171102002324 MO Part B Supplier - Mass Immunization (Roster Biller Only) 1750375986
O20240507001337 MO DME Supplier - Pharmacy 1922032903
O20240220000744 MO Part A Provider - Hospital 1134901812
O20240221002153 MO Part A Provider - Hospital 1699769901
O20240417001999 MO Part B Supplier - Pharmacy 1922032903
O20240412001343 MO Part B Supplier - Intensive Cardiac Rehabilitation 1699769901
O20231003003723 MO DME Supplier - Pharmacy 1316040330
O20231102002509 MO DME Supplier - Pharmacy 1699374629

NPIs in this group 22

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 38

Clinicians who reassign their Medicare benefits to this group (38) or whom Care Compare lists as members (19).

Sources for this page