One provider matched this enrollment ID.
Enrollment ID O20140502000259 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 9 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
- O20041110000950Clinic/Group PracticeMI
- O20140408000500Clinic/Group PracticeFL
- O20140502000259Clinic/Group PracticeTX
- O20190718001003Clinic/Group PracticeMA
- O20190917000581Clinic/Group PracticeIN
- O20211216002799Clinic/Group PracticeMO
- O20231030000943Clinic/Group PracticeOH
- O20240809000091Clinic/Group PracticeSC
- O20250723001066Clinic/Group PracticeSD
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
- 310B562940MI· Issued by BS & BCN PROVIDER NUMBER
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.