Northwest Renal Clinic Inc

A Medicare group practice based in Portland, OR: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 8628065836), with 44 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8628065836The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
Enrolled in
HI, OR
Enrollments
3
Group size
39 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 9 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040429000295 OR Part B Supplier - Clinic/Group Practice 1679752273
O20191211003109 HI Part B Supplier - Clinic/Group Practice 1528036662
O20190516001330 OR Part B Supplier - Ambulatory Surgical Center 1164946984

NPIs in this group 11

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 44

Clinicians who reassign their Medicare benefits to this group (44) or whom Care Compare lists as members (39).

Sources for this page