One provider matched this enrollment ID.
Enrollment ID O20120828000409 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
- O20120828000409Clinic/Group PracticeCT
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
- GRP/FACILITYCT· Issued by ANTHEM BCBS OF CT
- GRP/FACILITYCT· Issued by MHN/MHN TRICARE NORTH
- GRP/FACILITYCT· Issued by UBH-CONNECTICARE
- GRP/FACILITYCT· Issued by OPTUM BEHAVIORAL HEALTH
- 4491935CT· Issued by CIGNA BEHAVIORAL HEALTH
- D339123 WATERBURYCT· Issued by BECON HEALTH STRATEGIES
- GRP/FACILITYCT· Issued by HEALTHYCT
- GRP/FACILITYCT· Issued by UBH-OXFORD/FREEDOM
- GRP/FACILITYCT· Issued by UBH/UNITED HEALTHCARE
- 9211645CT· Issued by AETNA HEALTH
Medicaid
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.