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Enrollment ID O20201201001087 resolves to a single NPI record. Open the full profile for complete detail.

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IR
NPI · 1356390736 · Active
Intercity Radiology, PC
Specialist · Bozeman, Montana
Active
NPI
1356390736
Enrollment ID
O20201201001087
Taxonomy
174400000X
Type
Part B Supplier - Clinic/Group Practice

Medicare enrollment

This provider holds 27 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

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.