NPIMap

Arkansas Renal Group PA

A Medicare group practice based in Russellville, AR: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 8921274721), with 18 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8921274721The 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
AR
Enrollments
4
Group size
15 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 4 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20111228000680 AR Part B Supplier - Clinic/Group Practice 1699043067
O20111228000584 AR Part B Supplier - Clinic/Group Practice 1134404130
O20140320000880 AR Part B Supplier - Ambulatory Surgical Center 1205266632
O20220406001085 AR Part B Supplier - Clinic/Group Practice 1922769322

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 18

Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (15).

Sources for this page