One provider matched this enrollment ID.
Enrollment ID O20201216000652 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 6 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
- O20041028000139Clinic/Group PracticeNJ
- O20130626000046Clinic/Group PracticePA
- O20141218001739Clinic/Group PracticeCA
- O20201216000652Clinic/Group PracticeFL
- O20230106000537Clinic/Group PracticeGA
DME Supplier
- O20250515001043Physician - Plastic and Reconstructive SurgeryNJ
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
- J21602· Issued by HEALTHNET
- A584143· Issued by OXFORD
- 000952· Issued by BCBS OF NJ
- 31D1027971· Issued by CLIA
- 113905500· Issued by OFFICE OF WORKER'S COMP
Medicaid
- 8272000NJ
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.