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Enrollment ID O20041020000030 resolves to a single NPI record. Open the full profile for complete detail.

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PM
NPI · 1316083595 · Active
Physician's Mobile X-Ray, Inc.
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Harrisburg, Pennsylvania
Active
NPI
1316083595
Enrollment ID
O20041020000030
Taxonomy
335V00000X
Type
Part B Supplier - Portable X-Ray Supplier

Medicare enrollment

This provider holds a Medicare enrollment 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

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

  • 1507996PA· Issued by GATEWAY PA MEDICAID
  • 335685PA· Issued by ADVANTRA
  • 000000094397PA· Issued by UNISON HEALTH PLAN
  • 000399807PA· Issued by HIGHMARK
  • 1507996PA· Issued by GATEWAY MEDICARE ASSURED
  • 441630015PA· Issued by UNITED HEALTHCARE RR MC
  • 000138896PA· Issued by APWU
  • 25-1352947PA· Issued by CONTINENTAL GENERAL INS
  • 25-1352947PA· Issued by UNITED HEALTHCARE

Medicaid

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.