One provider matched this enrollment ID.
Enrollment ID O20100302000695 resolves to a single NPI record. Open the full profile for complete detail.
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
- O20100302000695Ambulatory Surgical CenterID
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.
Medicaid
- 0026786ID
Other
- 1194861278· Issued by DAVID WOLD
- 000010004566ID· Issued by REGENCE BLUE SHIELD OF ID
- 1336285345· Issued by D.JUSTIN STORMOGIPSON
- 1386780484· Issued by PATRICK PARDEN
- 1487790598· Issued by STEPHEN A MOSS
- 182044801ID· Issued by BLUESHIELD MED ADVANTAGE
- 00943ID· Issued by BLUE CROSS OF IDAHO
- 1538205638· Issued by RODERICK KENT
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.