One provider matched this enrollment ID.
Enrollment ID O20171024003157 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 39 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
- O20040308000742Clinic/Group PracticeOH
- O20100127000680Clinic/Group PracticeHI
- O20170208001395Clinic/Group PracticeCA
- O20170215002490Clinic/Group PracticeAZ
- O20170306001343Clinic/Group PracticeKY
- O20170413001689Clinic/Group PracticeNY
- O20170417000208Clinic/Group PracticeIL
- O20170418001620Clinic/Group PracticeMI
- O20170501000331Clinic/Group PracticeNC
- O20170621001399Clinic/Group PracticeOR
- O20170630001497Clinic/Group PracticeCO
- O20170719001245Clinic/Group PracticeNJ
- O20171024003157Clinic/Group PracticeNV
- O20180730000956Clinic/Group PracticeUT
- O20181107001886Clinic/Group PracticeSC
- O20181206003284Clinic/Group PracticeFL
- O20190108000527Clinic/Group PracticeTX
- O20190827001850Clinic/Group PracticeWI
- O20190912003316Clinic/Group PracticeAL
- O20190919001909Clinic/Group PracticeDC
- O20190919002360Clinic/Group PracticePA
- O20190925001016Clinic/Group PracticeMT
- O20200413001620Clinic/Group PracticeOK
- O20200702000258Clinic/Group PracticeRI
- O20200713001637Clinic/Group PracticeTN
- O20210108001400Clinic/Group PracticeGA
- O20210111002273Clinic/Group PracticeMD
- O20211018001934Clinic/Group PracticeWA
- O20211215000972Clinic/Group PracticeME
- O20220104003042Clinic/Group PracticeVA
- O20220907000825Clinic/Group PracticeCT
- O20220908000442Clinic/Group PracticeMA
- O20220915001147Clinic/Group PracticeWV
- O20221230000476Clinic/Group PracticeIN
- O20230309002219Clinic/Group PracticeMN
- O20230421001351Clinic/Group PracticeKS
- O20240219003046Clinic/Group PracticeWY
- O20251030003941Clinic/Group PracticeMS
- O20251114002854Clinic/Group PracticeNM
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.
Medicaid
- 2974509OH
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.