One provider matched this enrollment ID.
Enrollment ID O20180830003567 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 32 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
- O20120327000625Clinic/Group PracticeNV
- O20130204000200Clinic/Group PracticeCA
- O20130312000507Clinic/Group PracticeDC
- O20130408000101Clinic/Group PracticeOR
- O20140213001301Clinic/Group PracticeMI
- O20140226000080Clinic/Group PracticeNM
- O20140311000610Clinic/Group PracticeCO
- O20150206001126Clinic/Group PracticeGA
- O20150331002906Clinic/Group PracticeAZ
- O20150421001637Clinic/Group PracticeTX
- O20150604001413Clinic/Group PracticeFL
- O20150811004973Clinic/Group PracticeNC
- O20170510002442Clinic/Group PracticeOH
- O20180416001970Clinic/Group PracticeWA
- O20180416002635Clinic/Group PracticeHI
- O20180417000338Clinic/Group PracticeLA
- O20180427000468Clinic/Group PracticePA
- O20180504001035Clinic/Group PracticeMD
- O20180504001404Clinic/Group PracticeDE
- O20180509001021Clinic/Group PracticeOK
- O20180523001340Clinic/Group PracticeWI
- O20180611001605Clinic/Group PracticeNH
- O20180621002255Clinic/Group PracticeVA
- O20180830003567Clinic/Group PracticeTN
- O20181016002270Clinic/Group PracticeAL
- O20181212003511Clinic/Group PracticeWV
- O20190426001042Clinic/Group PracticeNE
- O20220607001600Clinic/Group PracticeMS
- O20230203000299Clinic/Group PracticeUT
- O20240613001712Clinic/Group PracticePR
- O20240628000409Clinic/Group PracticeMT
- O20251223000459Clinic/Group PracticeNJ
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
Other
- DU4981CA· Issued by RR CA DRS NORTHERN
- DU8965KS· Issued by RR MEDICARE DRS KANSAS
- DU4980CA· Issued by RR DRS CA SOUTHERN
- DU7190MI· Issued by RR DRS MI
- DT6182NV· Issued by RR MEDICARE
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.