One provider matched this enrollment ID.
Enrollment ID O20040402000492 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 A Provider
- O20101018000738HospitalNY
Part B Supplier
- O20040402000492Clinic/Group PracticeNY
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
- 000000068000NY· Issued by BLUE CROSS OF WESTERN NY
- 068NY· Issued by COMMUNITY SENIOR BLUE
- 08SNY· Issued by EXCELLUS OF ROCHESTER
- 1030788DNY· Issued by COMMUNITY BLUE
- 100002CFNY· Issued by COMMUNITY BLUE
- 100002CCFNY· Issued by COMMUNITY BLUE
- 000011000010NY· Issued by FIDELIS CARE NY
- 014006208SNY· Issued by EXCELLUS OF ROCHESTER
- 08NY· Issued by EXCELLUS OF ROCHESTER NY
- 01206208NY· Issued by FAMILY FIRST
- 4159900NJ· Issued by NEW JERSEY MEDICAID
- 6450545NY· Issued by AETNA
- 010046248NY· Issued by EXCELLUS OF ROCHESTER
- 08NY· Issued by EXCELLUS OF ROCHESTER
- 095777100FL· Issued by FLORIDA MEDICAID
Medicaid
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.