NPIMap

Jordan Ridge Family Medicine LLC

A Medicare group practice based in Layton, UT: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 8820091473), with 33 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8820091473The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
ID, UT
Enrollments
2
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 5 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20060821000255 UT Part B Supplier - Clinic/Group Practice 1770509754
O20230303001190 ID Part B Supplier - Clinic/Group Practice 1578277950

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 33

Clinicians who reassign their Medicare benefits to this group (33) or whom Care Compare lists as members (10).

Sources for this page