NPIMap

Iha Olma Specialty 1 LLC

A Medicare group practice based in Livonia, MI: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 6901206689), with 104 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6901206689The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
1
Group size
67 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 8 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20210617000949 MI Part B Supplier - Clinic/Group Practice 1891371118

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 104

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (104) or whom Care Compare lists as members (67).

Sources for this page