One provider matched this enrollment ID.
Enrollment ID O20170428001095 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 21 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
- O20151217002562Clinic/Group PracticeNV
- O20170303001802Clinic/Group PracticeAZ
- O20170324001023Clinic/Group PracticeCO
- O20170410001600Clinic/Group PracticeUT
- O20170413002544Clinic/Group PracticeCA
- O20170428001095Clinic/Group PracticeIN
- O20171110001647Clinic/Group PracticeID
- O20171115002188Clinic/Group PracticeMT
- O20171128002423Clinic/Group PracticeMI
- O20171130002433Clinic/Group PracticeIL
- O20180319001486Clinic/Group PracticeSD
- O20200518000572Clinic/Group PracticeVA
- O20200729003703Clinic/Group PracticeTX
- O20211104000267Clinic/Group PracticeAR
- O20220502001507Clinic/Group PracticeTN
- O20220525001872Clinic/Group PracticeFL
- O20220629001400Clinic/Group PracticeAL
- O20220926001710Clinic/Group PracticeHI
- O20231229000008Clinic/Group PracticeWA
- O20240314000283Clinic/Group PracticeVT
- O20240701001578Clinic/Group PracticeNC
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.
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.