NPIMap

SSM Cardinal Glennon Children'S Hospital

A Medicare group practice based in Saint Louis, MO: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 7012828163), with 474 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7012828163The 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
IL, MO
Enrollments
4
Group size
35 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
26In 11 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20170612002061 IL Part B Supplier - Clinic/Group Practice 1073568226
O20031231000604 MO Part B Supplier - Clinic/Group Practice 1174577670
O20200204002985 MO Part A Provider - Rural Health Clinic 1962573212
O20200121000961 MO Part A Provider - Rural Health Clinic 1356412308

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 474

Page 1 of 5

Clinicians who reassign their Medicare benefits to this group (474) or whom Care Compare lists as members (35).

Sources for this page