One provider matched this enrollment ID.
Enrollment ID O20040407000771 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 A Provider
- O20030522000016HospitalMA
- O20170421000787End-Stage Renal Disease Facility (ESRD)MA
Part B Supplier
- O20040407000771Clinic/Group PracticeMA
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
- 0007049MA· Issued by NHP IP/OP
- 2222011001MA· Issued by BCBS IP
- 900058MA· Issued by HPHC
- 0006807MA· Issued by NHP SPANISH CLINIC
- 2222011012MA· Issued by BCBS BROOKSIDE HEALTHCENT
- 0006763MA· Issued by NHPBROOKSIDE HEALTHCENTER
- 2222011015MA· Issued by BCBS OP PSYCH
- 900054MA· Issued by TAHP OP
- 2222011010MA· Issued by BCBS OP
- 2222011013MA· Issued by BCBS SJP HEALTHCENTER
- 2222011031MA· Issued by BCBS SDC
- 903115MA· Issued by TAHP IP
- 0002928MA· Issued by NHP BIMA
- 0006764MA· Issued by SJP HEALTHCENTER
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.