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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID O20200401000205 resolves to a single NPI record. Open the full profile for complete detail.

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DP
NPI · 1023587854 · Active
Ditmas Park Dialysis Center LLC
Peritoneal Dialysis Registered Nurse · Brooklyn, New York
Active
NPI
1023587854
Enrollment ID
O20200401000205
Taxonomy
163WD1100X
Type
Part A Provider - End-Stage Renal Disease Facility (esrd)

Medicare enrollment

This provider holds a Medicare enrollment 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 A Provider

Source: CMS PECOS public enrollment file.

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.