NPIMap

Anthony L. Jordan Health Corporation

A Medicare group practice based in Rochester, NY: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 8729079785), with 56 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8729079785The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
NY
Enrollments
8
Group size
39 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 2 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20040519001335 NY Part B Supplier - Clinic/Group Practice 1649529678
O20101221000907 NY Part A Provider - Federally Qualified Health Center (FQHC) 1346541414
O20111018000444 NY Part A Provider - Federally Qualified Health Center (FQHC) 1013291335
O20111207000422 NY Part A Provider - Federally Qualified Health Center (FQHC) 1497039713
O20100324000655 NY Part A Provider - Federally Qualified Health Center (FQHC) 1083716088
O20240404002936 NY Part B Supplier - Pharmacy 1619758968
O20250401000496 NY DME Supplier - Pharmacy 1619758968
O20120531000011 NY Part A Provider - Federally Qualified Health Center (FQHC) 1437424231

NPIs in this group 12

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 56

Clinicians who reassign their Medicare benefits to this group (49) or whom Care Compare lists as members (39).

Sources for this page