St Vincent Medical Group Inc

A Medicare group practice based in Indianapolis, IN: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 7012047640), with 999 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7012047640The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
IN
Enrollments
5
Group size
728 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
145In 39 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20100609000045 IN Part B Supplier - Clinic/Group Practice 1144513375
O20200402003202 IN MDPP Supplier - in-Person MDPP Supplier 1790317964
O20120815000335 IN Part A Provider - Rural Health Clinic 1225301740
O20120815000376 IN Part A Provider - Rural Health Clinic 1376816975
O20120815000386 IN Part A Provider - Rural Health Clinic 1871866384

NPIs in this group 11

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 999

Page 1 of 10

Clinicians who reassign their Medicare benefits to this group (998) or whom Care Compare lists as members (728).

Sources for this page