NPIMap

Southlake Orthopedics & Sports Medicine PLLC

A Medicare group practice based in Fort Worth, TX: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8426313131), with 2 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8426313131The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
Southlake Orthopedics and Sports Medicine PLLCName in Care Compare
Provider type
DME Supplier - Sports Medicine, Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
3
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20180530002510 TX Part B Supplier - Clinic/Group Practice 1871099739
O20251115000460 TX DME Supplier - Sports Medicine 1871099739
O20251115000434 TX DME Supplier - Sports Medicine 1740162726

NPIs in this group 2

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 2

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

Sources for this page