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One provider matched this enrollment ID.

Enrollment ID O20120105000445 resolves to a single NPI record. Open the full profile for complete detail.

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CM
NPI · 1093014748 · Active
Comprehensive Medical Group, LLC
Family Nurse Practitioner · Avon, Connecticut
Active
NPI
1093014748
Enrollment ID
O20120105000445
Taxonomy
363LF0000X
Type
Part B Supplier - Clinic/Group Practice

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

  • 1669496113CT· Issued by MARY LEAHY, APRN NPI
  • 1942352794CT· Issued by DR. LALRUKH MUFTI NPI

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.