One provider matched this enrollment ID.
Enrollment ID O20100930061237 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 3 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
- O20040804001587Clinic/Group PracticeMO
- O20060301000201Clinic/Group PracticeIL
DME Supplier
- O20100930061237Physician - PodiatryMO
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
- 4461710007IL· Issued by MEDICARE DMERC GC
- 4461710005MO· Issued by MEDICARE DMERC LSTL
- 4461710002MO· Issued by DMERC MO BAP
- 4461710010IL· Issued by MEDICARE DMERC PINCKNEY
- 4461710008IL· Issued by MEDICARE DMERC FH
- 4461710009IL· Issued by MEDICARE DMERC WATERLOO
- 4461710003MO· Issued by DMERC ST CHARLES
- 4461710004MO· Issued by MEDICARE DMERC N COUNTY
- 4461710006MO· Issued by MEDICARE DMERC SUNSET HIL
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.