Project Renewal Inc

A Medicare group practice based in New York, NY: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 6901798651), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6901798651The 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 - Clinic/Group Practice, Part B Supplier - Independent Diagnostic Testing Facility (Idtf)
Enrolled in
NY
Enrollments
5
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 3 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20040326001016 NY Part B Supplier - Clinic/Group Practice 1598770018
O20100909000001 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1598770018
O20140110000778 NY Part A Provider - Federally Qualified Health Center (FQHC) 1720520083
O20140110000801 NY Part A Provider - Federally Qualified Health Center (FQHC) 1275075020
O20210816003513 NY Part A Provider - Federally Qualified Health Center (FQHC) 1821740275

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 25

Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (8).

Sources for this page