NPIMap

State of Nevada

A Medicare group practice based in Las Vegas, NV: 18 NPIs enrolled under one PECOS associate control ID (PAC ID 9234022153), with 146 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9234022153The 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
Enrolled in
NV
Enrollments
4
Group size
57 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
20In 17 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040804000518 NV Part A Provider - Skilled Nursing Facility 1083612741
O20040212000160 NV Part B Supplier - Clinic/Group Practice 1760572010
O20080715000045 NV Part A Provider - Hospital 1972501021
O20100816001116 NV Part A Provider - Hospital 1891756920

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 146

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (146) or whom Care Compare lists as members (57).

Sources for this page