One provider matched this enrollment ID.
Enrollment ID O20170512001047 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
- O20130614000300Clinic/Group PracticeNE
- O20140626001653Clinic/Group PracticeFL
- O20140812001523Clinic/Group PracticeIA
- O20160504000980Clinic/Group PracticeCO
- O20170320002447Clinic/Group PracticeMN
- O20170331000943Clinic/Group PracticeSD
- O20170407000860Clinic/Group PracticeIL
- O20170407001641Clinic/Group PracticeMO
- O20170410002420Clinic/Group PracticeMD
- O20170413002205Clinic/Group PracticeMT
- O20170418000672Clinic/Group PracticeSC
- O20170512001047Clinic/Group PracticeTX
- O20170623000510Clinic/Group PracticeTN
- O20181109001575Clinic/Group PracticeME
- O20181128002588Clinic/Group PracticeKS
- O20190808001996Clinic/Group PracticeGA
- O20191016000555Clinic/Group PracticeCA
- O20211007000595Clinic/Group PracticeOH
- O20220725000900Clinic/Group PracticeMI
- O20230106002486Clinic/Group PracticeWI
- O20251111003425Clinic/Group PracticeWA
Source: CMS PECOS public enrollment file.
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.