One provider matched this enrollment ID.
Enrollment ID O20181220003264 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 6 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
- O20050119000913Independent Clinical LaboratoryMO
- O20061016000584Independent Clinical LaboratoryKS
- O20061024000121Clinic/Group PracticeMO
- O20090922000714Clinic/Group PracticeKS
- O20180924000194Clinic/Group PracticeOK
- O20181220003264Independent Clinical LaboratoryOK
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
- C50355MO· Issued by MEDICARE - RAILROAD
- 690077079MO· Issued by MEDICARE - RAILROAD
Medicaid
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.