One provider matched this enrollment ID.
Enrollment ID O20181024001074 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 22 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
- O20040407001016Clinic/Group PracticeOH
- O20150810002511Clinic/Group PracticeFL
- O20160204000371Clinic/Group PracticeIL
- O20160217000878Clinic/Group PracticeWA
- O20160602001352Clinic/Group PracticeGA
- O20160630000573Clinic/Group PracticeTX
- O20160711002092Clinic/Group PracticeOK
- O20161110001170Clinic/Group PracticePA
- O20170209001203Clinic/Group PracticeCA
- O20180525001315Clinic/Group PracticeMT
- O20180530001846Clinic/Group PracticeNC
- O20181024001074Clinic/Group PracticeCT
- O20200512003446Clinic/Group PracticeKY
- O20200722001025Clinic/Group PracticeMI
- O20210518001233Clinic/Group PracticeCO
- O20211209001406Clinic/Group PracticeIN
- O20221118002281Clinic/Group PracticeTN
- O20240410001970Clinic/Group PracticeMO
- O20240603000857Clinic/Group PracticeAK
- O20250304003696Clinic/Group PracticeNV
- O20251013000139Clinic/Group PracticeMA
- O20251022004109Clinic/Group PracticeVA
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
- 000000006173· Issued by ANTHEM
- CB4569· Issued by MEDICARE RAILROAD
Medicaid
- 0383160OH
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.