One provider matched this enrollment ID.
Enrollment ID O20200902002189 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 9 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 A Provider
- O20070703000711Federally Qualified Health Center (FQHC)ID
- O20070809000359Federally Qualified Health Center (FQHC)ID
- O20111230000442Federally Qualified Health Center (FQHC)ID
- O20120206000652Federally Qualified Health Center (FQHC)ID
- O20140329000424Federally Qualified Health Center (FQHC)ID
- O20180904001162Federally Qualified Health Center (FQHC)ID
- O20200902002189Federally Qualified Health Center (FQHC)ID
- O20230824003763Federally Qualified Health Center (FQHC)ID
Part B Supplier
- O20070924000618Clinic/Group PracticeID
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.
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.