NPIMap

Revere Health PC

A Medicare group practice based in Provo, UT: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 7517868508), with 549 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7517868508The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, DME Supplier - Physician - General Practice, DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
NV, UT
Enrollments
7
Group size
407 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
77In 35 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20040113000805 UT Part B Supplier - Clinic/Group Practice 1093764805
O20230424000960 UT DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1538867999
O20231004000848 UT Part B Supplier - Mass Immunization (Roster Biller Only) 1922156884
O20120111000778 NV Part B Supplier - Clinic/Group Practice 1093764805
O20100930014471 UT DME Supplier - Multi-Specialty - Physician 1093764805
O20100930033783 UT DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1780017954
O20100930068812 UT DME Supplier - Physician - General Practice 1891813960

NPIs in this group 5

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 549

Page 1 of 6

Clinicians who reassign their Medicare benefits to this group (548) or whom Care Compare lists as members (407).

Sources for this page