Humboldt Park Health

A Medicare group practice based in Chicago, IL: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8921907072), with 160 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8921907072The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
AZ, CA, CO, FL, IL, KS, MA, MI, MO, NJ, NM, NY, OH, PA, PR, SC, TN, TX, VI, WA, WI
Enrollments
23
Group size
106 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
84In 63 places

Enrollment records 23

Enrollment IDStateProvider typeNPI
O20250610003258 KS Part B Supplier - Clinic/Group Practice 1740417153
O20250321002523 OH Part B Supplier - Clinic/Group Practice 1740417153
O20250325001806 MO Part B Supplier - Clinic/Group Practice 1740417153
O20250326002466 FL Part B Supplier - Clinic/Group Practice 1740417153
O20250618000653 NM Part B Supplier - Clinic/Group Practice 1740417153
O20250409002912 MI Part B Supplier - Clinic/Group Practice 1740417153
O20250217003060 NJ Part B Supplier - Clinic/Group Practice 1740417153
O20250219000459 PA Part B Supplier - Clinic/Group Practice 1740417153
O20250213003396 MA Part B Supplier - Clinic/Group Practice 1740417153
O20250205000035 SC Part B Supplier - Clinic/Group Practice 1740417153
O20250204003939 PR Part B Supplier - Clinic/Group Practice 1740417153
O20250225000220 TN Part B Supplier - Clinic/Group Practice 1740417153
O20250228001144 CA Part B Supplier - Clinic/Group Practice 1740417153
O20250303002555 NY Part B Supplier - Clinic/Group Practice 1740417153
O20250225003097 WA Part B Supplier - Clinic/Group Practice 1740417153
O20250122000203 AZ Part B Supplier - Clinic/Group Practice 1740417153
O20250128002770 TX Part B Supplier - Clinic/Group Practice 1740417153
O20250122002840 CO Part B Supplier - Clinic/Group Practice 1740417153
O20241226003132 VI Part B Supplier - Clinic/Group Practice 1740417153
O20250804003131 WI Part B Supplier - Clinic/Group Practice 1740417153
O20040107000704 IL Part B Supplier - Clinic/Group Practice 1740417153
O20060417000521 IL Part A Provider - Hospital 1972594877
O20080422000699 IL Part A Provider - Hospital 1013944479

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment
Other places (23)
  • Bloomfield Hills, MI1
  • Santa Rosa Beach, FL1
  • Highland Beach, FL1
  • Weston, FL1
  • Naples, FL1
  • Falmouth, MA1
  • Essex Fells, NJ1
  • Durango, CO1
  • Concord, MA1
  • Lafayette, CO1
  • Gibsonia, PA1
  • Cave Creek, AZ1
  • Monument, CO1
  • Lubbock, TX1
  • Camden, SC1
  • North Augusta, SC1
  • Steamboat Springs, CO1
  • Simpsonville, SC1
  • Allen, TX1
  • El Paso, TX1
  • Houston, TX1
  • Southlake, TX1
  • Webster, TX1

Clinicians 160

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (160) or whom Care Compare lists as members (106).

Sources for this page