One provider matched this enrollment ID.
Enrollment ID O20130802000577 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 8 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
- O20130802000577Clinic/Group PracticeKY
- O20150504001876Clinic/Group PracticeIN
- O20190520001244Clinic/Group PracticeIL
- O20240716001454Clinic/Group PracticeOH
- O20240906000061Clinic/Group PracticeTN
- O20250113001175Clinic/Group PracticeNC
- O20250114003107Clinic/Group PracticeSC
DME Supplier
- O20140224001963Physician - Interventional Pain ManagementKY
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
- 300026044IN
- 300073973IN
- 7100488260KY
- 300014938IN
- 300026415IN
- 7100270310KY
- Q091113TN
- 201287400BIN
- 300009547IN
- 300012363IN
- 7100349390KY
- PG2591SC
- 1306280177IL
- 201287400CIN
- 300050981IN
- 7100607850KY
- QPC852SC
- 300014863IN
- 300061140IN
- PG2644SC
- 201287400AIN
- 201287400EIN
- PG2642SC
- PG2643SC
- 0300626OH
- 1306280177NC
- 300027005IN
- 7100318140KY
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.