One provider matched this enrollment ID.
Enrollment ID O20120828000537 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.
Practitioner
- I20031120000341PodiatryNY
DME Supplier
- O20120828000537Physician - General PracticeNY
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
- 000407063001· Issued by BS OF NE NY
- 6202441· Issued by GHI CBPPPO
- PJ048· Issued by EMPIRE BCBS
- 245003· Issued by WELLCARE
- 9313757· Issued by PHCS PPO
- 79594· Issued by GHI HMO
- P3297178· Issued by OXFORD
- 10075790· Issued by CDPHP
- 364739· Issued by MVP
- 5162828000· Issued by MAGNACARE
Medicaid
- 02A79165NY
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.