One provider matched this enrollment ID.
Enrollment ID O20200225002219 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 2 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
- O20040315000103Clinic/Group PracticeMA
- O20200225002219Opioid Treatment Program (OTP)MA
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
- 1306685MA· Issued by MBHP O/P M/H
- FAL2225000701MA· Issued by BCBS I/P
- 295763MA· Issued by MAGELLAN
- A005312/008588MA· Issued by VALUE OPTIONS
- 1002950MA· Issued by BEACON
- 725921MA· Issued by TUFTS
- FAL2225000710MA· Issued by BCBS O/P
- 1306391MA· Issued by MBHP I/P
- 000000008464MA· Issued by BMC
- STA2223014140MA· Issued by BCBS M/H
Medicaid
- 1306685MA
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.