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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID O20201215001198 resolves to a single NPI record. Open the full profile for complete detail.

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GP
NPI · 1083256168 · Active
Glutality Provider Group, P.A.
Internal Medicine · Boca Raton, Florida
Active
NPI
1083256168
Enrollment ID
O20201215001198
Taxonomy
207R00000X
Type
Part B Supplier - Clinic/Group Practice
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Medicare enrollment

This provider holds 39 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.