Open Door Family Medical Center Inc

A Medicare group practice based in Ossining, NY: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 7113835380), with 164 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7113835380The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
NY
Enrollments
10
Group size
61 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
29In 12 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20021205000026 NY Part A Provider - Federally Qualified Health Center (FQHC) 1285893719
O20040225000820 NY Part A Provider - Federally Qualified Health Center (FQHC) 1467487637
O20030707000001 NY Part A Provider - Federally Qualified Health Center (FQHC) 1619136140
O20060905000436 NY Part A Provider - Federally Qualified Health Center (FQHC) 1629237151
O20150224001267 NY Part B Supplier - Clinic/Group Practice 1285893719
O20130606000734 NY Part A Provider - Federally Qualified Health Center (FQHC) 1003152240
O20170517002407 NY Part A Provider - Federally Qualified Health Center (FQHC) 1487194155
O20181220001772 NY Part A Provider - Federally Qualified Health Center (FQHC) 1780166645
O20210125002165 NY MDPP Supplier - in-Person MDPP Supplier 1487194155
O20251024001159 NY Part A Provider - Federally Qualified Health Center (FQHC) 1467487637

NPIs in this group 7

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 164

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (162) or whom Care Compare lists as members (61).

Sources for this page