One provider matched this enrollment ID.
Enrollment ID O20120801000809 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 36 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
- O20040823000112Clinic/Group PracticeNC
- O20120801000809Clinic/Group PracticeCA
- O20150513001736Clinic/Group PracticeSC
- O20150529002412Clinic/Group PracticeOH
- O20171004001190Clinic/Group PracticeMT
- O20171006001707Clinic/Group PracticeIL
- O20171009001423Clinic/Group PracticeTX
- O20171013001298Clinic/Group PracticeCO
- O20171030003199Clinic/Group PracticeGA
- O20171114002373Clinic/Group PracticeMO
- O20171120001087Clinic/Group PracticePA
- O20180213002983Clinic/Group PracticeFL
- O20180803000627Clinic/Group PracticeLA
- O20181116001310Clinic/Group PracticeOK
- O20200129002644Clinic/Group PracticeHI
- O20200305001748Clinic/Group PracticeMI
- O20200316000606Clinic/Group PracticeAL
- O20200602003005Clinic/Group PracticeNV
- O20200611001129Clinic/Group PracticeRI
- O20200629003541Clinic/Group PracticeKY
- O20200720003666Clinic/Group PracticeTN
- O20200810001266Clinic/Group PracticeNY
- O20201009000443Clinic/Group PracticeOR
- O20210121002157Clinic/Group PracticeWI
- O20210325000228Clinic/Group PracticeDC
- O20210526000516Clinic/Group PracticeVA
- O20210907002028Clinic/Group PracticeKS
- O20211221000911Clinic/Group PracticeMD
- O20230404002004Clinic/Group PracticeMA
- O20230614000642Clinic/Group PracticeWA
- O20231129003162Clinic/Group PracticeID
- O20231204001377Clinic/Group PracticeDE
- O20240219001297Clinic/Group PracticeNJ
- O20240313002410Clinic/Group PracticeNH
- O20240626004168Clinic/Group PracticeUT
- O20250327000077Clinic/Group PracticeMS
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
- 8902851NC
Other
- 02851NC· Issued by BCBS OF NC
- 153000500NC· Issued by DOL
- 760158NC· Issued by MAMSI
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.