NPIMap

Illumia Health LLC

A Medicare group practice based in White Bear Lake, MN: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 7810424306), with 61 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7810424306The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
FL, MN, OH
Enrollments
3
Group size
33 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 5 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20241223000539 OH Part B Supplier - Clinic/Group Practice 1740024397
O20250327003580 FL Part B Supplier - Clinic/Group Practice 1972341147
O20250708000799 MN Part B Supplier - Clinic/Group Practice 1972316289

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 61

Clinicians who reassign their Medicare benefits to this group (61) or whom Care Compare lists as members (33).

Sources for this page