One provider matched this enrollment ID.
Enrollment ID O20040407000799 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 7 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
- O20040407000799Clinic/Group PracticeOR
- O20200207002070Clinic/Group PracticeNY
- O20200619000595Clinic/Group PracticeCA
- O20211014002330Clinic/Group PracticeID
- O20231101003815Clinic/Group PracticeUT
- O20240416000482Clinic/Group PracticeCO
- O20240416001074Clinic/Group PracticeNM
Source: CMS PECOS public enrollment file.
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.