One provider matched this enrollment ID.
Enrollment ID O20120719000117 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 B Supplier
- O20080602000087Clinic/Group PracticeRI
DME Supplier
- O20120719000117Physician - PodiatryRI
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
- 1099RI· Issued by CIGNA
- 5717213RI· Issued by AETNA
- BLUE CROSS BLUE SHRI· Issued by BLUE CROSS
- 000000001099RI· Issued by NHPRI
- 004604RI· Issued by BLUE CHIP
- 2700181RI· Issued by UNITED HEALTH
Medicaid
- 9007078RI
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.