NPIMap

Vanderbilt Integrated Providers LLC

A Medicare group practice based in Tullahoma, TN: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 7012817919), with 171 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7012817919The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
KY, TN
Enrollments
7
Group size
82 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
18In 7 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20040108001021 TN Part B Supplier - Clinic/Group Practice 1982625091
O20050225000278 KY Part B Supplier - Clinic/Group Practice 1982625091
O20210329002121 KY Part A Provider - Rural Health Clinic 1356936744
O20210421000511 TN Part A Provider - Rural Health Clinic 1437744828
O20231020002834 TN Part A Provider - Rural Health Clinic 1164200747
O20231027000534 TN Part A Provider - Rural Health Clinic 1265210843
O20231020000516 TN Part A Provider - Rural Health Clinic 1891573473

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

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
98.01 of 100Reported as apm
Quality
87.65
Promoting interoperability
100
Improvement activities
40

Clinicians 171

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Clinicians who reassign their Medicare benefits to this group (165) or whom Care Compare lists as members (82).

Sources for this page