One provider matched this enrollment ID.
Enrollment ID O20041001000529 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
- O20100929000743Federally Qualified Health Center (FQHC)NM
Part B Supplier
- O20041001000529Clinic/Group PracticeNM
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
- 1891562674NM· Issued by PHYSICAL THERAPIST
- 1215129291NM· Issued by AMBULANCE
- 1467742015NM· Issued by LUIGI A. DULANTO, M.D.
- 1366581373NM· Issued by JODI K. CASADOS
- 1730472085NM· Issued by LEVI I. MAES, M.D.
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.