One provider matched this enrollment ID.
Enrollment ID O20040108000482 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part B Supplier
- O20040108000482Clinic/Group PracticeDC
DME Supplier
- O20100930026568Physician - Orthopedic/Orthopedic SurgeryVA
Source: CMS PECOS public enrollment file.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 1846ANMD· Issued by BLUE CROSS/BLUE SHIELD OF MD
- 0457470001· Issued by DURABLE MEDICAL EQUIPMENT
- 2509· Issued by BLUE CROSS BLUE SHIELD ID
- 148820100· Issued by DEPT OF LABOR ID
Source: NPPES public registry.
ReferenceAbout Medicare Enrollment IDs
A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.