One provider matched this enrollment ID.
Enrollment ID O20040407000342 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 3 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
- O20040407000342Clinic/Group PracticePA
- O20050317000562Clinic/Group PracticeNJ
DME Supplier
- O20100930010317Physician - OphthalmologyNJ
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
- 000761835· Issued by HIGHMARK
- E14989· Issued by STERLING
- 0686421000· Issued by KEYSTONE EAST
- 02940000· Issued by CAPTIAL
- 0274794000· Issued by AMERIHEALTH
- 2163689· Issued by AETNA
- 360561· Issued by EMPIRE HEALTHCARE
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.