One provider matched this enrollment ID.
Enrollment ID O20171002003306 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 3 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
- O20040910001105Clinic/Group PracticeAL
- O20100512000498Clinic/Group PracticeFL
- O20171002003306Clinic/Group PracticeGA
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
- 0348462AL· Issued by CIGNA
- 601701400AL· Issued by DOL
- 774089000AL· Issued by MAGELLAN
- 1013117167· Issued by NPI
- 1080690FL· Issued by BEACON
- 1104332527· Issued by NPI
- 11498415· Issued by CAQH
- 1811983596· Issued by NPI
- 51521565AL· Issued by BCBS
- 523314AL· Issued by VALUE OPTIONS
- 19C1RAL· Issued by NEW DIRECTIONS
- 50198FL· Issued by FLORIDA BLUE
- 410459675AL· Issued by TRICARE
- Q6YNLFL· Issued by FLORIDA BCBS
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.