NPIMap

Pueblo of Isleta

A Medicare group practice based in Albuquerque, NM: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 9739080631), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9739080631The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
NM
Enrollments
3
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040114000634 NM Part B Supplier - Ambulance Service Supplier 1023191368
O20040616000379 NM Part B Supplier - Clinic/Group Practice 1194738328
O20170126001345 NM Part B Supplier - Pharmacy 1407979008

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 25

Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (13).

Sources for this page