NPIMap

The Commonwealth of Massachusetts

A Medicare group practice based in Boston, MA: 18 NPIs enrolled under one PECOS associate control ID (PAC ID 8820906860), with 313 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8820906860The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
MA
Enrollments
20
Group size
141 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
24In 13 places

Enrollment records 20

Enrollment IDStateProvider typeNPI
O20040928000190 MA Part B Supplier - Clinic/Group Practice 1194803288
O20040819000765 MA Part B Supplier - Clinic/Group Practice 1285759464
O20050203000148 MA Part B Supplier - Clinic/Group Practice 1326155458
O20071129000717 MA Part A Provider - Hospital 1568532273
O20071207000059 MA Part A Provider - Hospital 1700964947
O20071126000404 MA Part A Provider - Hospital 1871680496
O20071023000640 MA Part B Supplier - Clinic/Group Practice 1922101724
O20060407000500 MA Part B Supplier - Clinic/Group Practice 1871680496
O20051201000869 MA Part B Supplier - Clinic/Group Practice 1275680456
O20040527000489 MA Part B Supplier - Clinic/Group Practice 1568587913
O20040609001391 MA Part B Supplier - Clinic/Group Practice 1851477491
O20120820000305 MA Part A Provider - Hospital 1306903042
O20171128000736 MA Part A Provider - Hospital 1851477491
O20161107002470 MA Part B Supplier - Independent Clinical Laboratory 1093856965
O20210301002477 MA Part B Supplier - Mass Immunization (Roster Biller Only) 1528656675
O20210902002730 MA Part A Provider - Hospital 1922101724
O20220301000809 MA Part A Provider - Skilled Nursing Facility 1477643658
O20081218000250 MA Part A Provider - Hospital 1285759464
O20230731001300 MA Part A Provider - Skilled Nursing Facility 1427111574
O20230519000033 MA Part B Supplier - Independent Clinical Laboratory 1053463448

NPIs in this group 18

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 313

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Clinicians who reassign their Medicare benefits to this group (312) or whom Care Compare lists as members (141).

Sources for this page