One provider matched this enrollment ID.
Enrollment ID O20040407000833 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 10 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
- O20040407000833Clinic/Group PracticeGA
- O20170130000243Clinic/Group PracticeCO
- O20180920002065Clinic/Group PracticeAL
- O20190115001216Clinic/Group PracticeVA
- O20190131001989Clinic/Group PracticeTX
- O20190213001533Clinic/Group PracticeCA
- O20190220001351Clinic/Group PracticeFL
- O20210511003195Clinic/Group PracticeOR
- O20230208001502Clinic/Group PracticeNH
- O20250624000829Clinic/Group PracticePA
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.