One provider matched this enrollment ID.
Enrollment ID O20040108001087 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 31 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
- O20040108001087Independent Diagnostic Testing Facility (IDTF)PA
- O20050310000514Independent Diagnostic Testing Facility (IDTF)NJ
- O20050720000880Independent Diagnostic Testing Facility (IDTF)DE
- O20070608000257Independent Diagnostic Testing Facility (IDTF)OH
- O20080806000184Independent Diagnostic Testing Facility (IDTF)MA
- O20080807000231Independent Diagnostic Testing Facility (IDTF)RI
- O20081009000006Independent Diagnostic Testing Facility (IDTF)CT
- O20090123000093Independent Diagnostic Testing Facility (IDTF)MD
- O20090206000060Independent Diagnostic Testing Facility (IDTF)MI
- O20090825000029Independent Diagnostic Testing Facility (IDTF)IN
- O20090902000626Independent Diagnostic Testing Facility (IDTF)DC
- O20090909000222Independent Diagnostic Testing Facility (IDTF)VA
- O20100113000556Independent Diagnostic Testing Facility (IDTF)AL
- O20100119000013Independent Diagnostic Testing Facility (IDTF)KS
- O20100415000868Independent Diagnostic Testing Facility (IDTF)SC
- O20101103000071Independent Diagnostic Testing Facility (IDTF)NH
- O20110215000587Independent Diagnostic Testing Facility (IDTF)TN
- O20110218000214Independent Diagnostic Testing Facility (IDTF)GA
- O20110311000425Independent Diagnostic Testing Facility (IDTF)KY
- O20110609000778Independent Diagnostic Testing Facility (IDTF)MO
- O20170314000932Clinic/Group PracticeNV
- O20170317001102Clinic/Group PracticeCA
- O20170327001211Clinic/Group PracticeHI
- O20170327001981Clinic/Group PracticeTX
- O20170411001369Clinic/Group PracticeIL
- O20170421001581Clinic/Group PracticeAZ
- O20170502001787Clinic/Group PracticeNC
- O20170509002784Clinic/Group PracticeWA
- O20170519002150Clinic/Group PracticeFL
- O20210114001001Independent Diagnostic Testing Facility (IDTF)ME
- O20210708001451Independent Diagnostic Testing Facility (IDTF)VT
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.
Medicaid
Other
- 19531PA· Issued by HEALTH/SENIOR PARTNERS
- 91000047800NJ· Issued by AMERICHOICE
- 2563931PA· Issued by AETNA
- 1035442NJ· Issued by HORIZON MERCEY
- 118225200NJ· Issued by DEPT. OF LABOR
- 0389137000PA· Issued by AMERIHEALTH
- 0389137000PA· Issued by IBC
- 10661PA· Issued by ELDERHEALTH
- 038913700PA· Issued by KEYSTONE
- 499596NJ· Issued by AETNA
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.