Central Oklahoma Family Medical Center Inc

A Medicare group practice based in Ada, OK: 17 NPIs enrolled under one PECOS associate control ID (PAC ID 9931189685), with 69 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9931189685The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Podiatry, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
OK
Enrollments
16
Group size
57 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
30In 5 places

Enrollment records 16

Enrollment IDStateProvider typeNPI
O20040722001013 OK Part B Supplier - Clinic/Group Practice 1831291293
O20080418000569 OK Part A Provider - Federally Qualified Health Center (FQHC) 1508952912
O20240717000179 OK Part A Provider - Federally Qualified Health Center (FQHC) 1295500429
O20250407002005 OK Part A Provider - Federally Qualified Health Center (FQHC) 1770399008
O20230218000360 OK Part A Provider - Federally Qualified Health Center (FQHC) 1962117754
O20211112000943 OK Part A Provider - Federally Qualified Health Center (FQHC) 1356011886
O20220418000771 OK Part A Provider - Federally Qualified Health Center (FQHC) 1861147472
O20220525001480 OK Part A Provider - Federally Qualified Health Center (FQHC) 1710629456
O20220701000743 OK Part A Provider - Federally Qualified Health Center (FQHC) 1386380178
O20220713002573 OK Part A Provider - Federally Qualified Health Center (FQHC) 1922769579
O20190228002696 OK Part A Provider - Federally Qualified Health Center (FQHC) 1063988673
O20191029000468 OK Part A Provider - Federally Qualified Health Center (FQHC) 1184286726
O20210715003550 OK DME Supplier - Physician - Podiatry 1063988673
O20211022000499 OK Part A Provider - Federally Qualified Health Center (FQHC) 1144997693
O20210609002520 OK Part A Provider - Federally Qualified Health Center (FQHC) 1972194249
O20150914001483 OK Part A Provider - Federally Qualified Health Center (FQHC) 1154704237

NPIs in this group 17

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 69

Clinicians who reassign their Medicare benefits to this group (68) or whom Care Compare lists as members (57).

Sources for this page