One provider matched this enrollment ID.
Enrollment ID O20191210003494 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
- O20040213000370Clinic/Group PracticeWA
- O20041110001044Clinic/Group PracticeID
DME Supplier
- O20191210003494Physician - Orthopedic/Orthopedic SurgeryWA
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
- 379109600WA· Issued by OWCP
- K2798ID· Issued by BLUE CROSS OF IDAHO
- CO3512WA· Issued by RR MEDICARE
- 22373WA· Issued by GROUP HEALTH NW
- 55710WA· Issued by DEPT OF LABOR & INDUSTRIE
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.