One provider matched this enrollment ID.
Enrollment ID O20150529001085 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 12 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
- O20060906000008Clinic/Group PracticeCO
- O20070517000377Clinic/Group PracticeOH
- O20090903000061Clinic/Group PracticeWA
- O20100916000800Clinic/Group PracticeWV
- O20120229000037Clinic/Group PracticeVT
- O20130507000341Clinic/Group PracticeMO
- O20150529001085Clinic/Group PracticeVA
- O20150707001792Clinic/Group PracticeGA
- O20151102001830Clinic/Group PracticeMT
- O20181101000420Clinic/Group PracticeIN
- O20240411001406Clinic/Group PracticeMI
- O20250306002182Clinic/Group PracticeRI
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
- 0058WXTX· Issued by BLUE CROSS
- 017H6NC· Issued by BLUE CROSS
- 610822000· Issued by OWCP
- DF3380CO· Issued by RAILROAD MEDICARE
- DF9541OH· Issued by RAILROAD MEDICARE
- 0000111416KS· Issued by BLUE CROSS
- DD9442NC· Issued by RAILROAD MEDICARE
- DD9442OH· Issued by RAILROAD MEDICARE
- 002514190WV· Issued by MOUNTAIN STATE BLUE CROSS
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.