One provider matched this enrollment ID.
Enrollment ID O20201221000648 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 37 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
- O20050920001274Clinic/Group PracticeTN
- O20080730000049Clinic/Group PracticeMS
- O20080908000602Clinic/Group PracticeAR
- O20190925000816Clinic/Group PracticeNE
- O20190930001333Clinic/Group PracticeNV
- O20190930001659Clinic/Group PracticeWA
- O20190930001842Clinic/Group PracticeUT
- O20191001002698Clinic/Group PracticeAZ
- O20191004003250Clinic/Group PracticeGA
- O20191008003267Clinic/Group PracticeTX
- O20191008003698Clinic/Group PracticeOK
- O20191009001401Clinic/Group PracticeCO
- O20191011000509Clinic/Group PracticeMA
- O20191014001690Clinic/Group PracticeAK
- O20200103000908Clinic/Group PracticeCT
- O20200114001428Clinic/Group PracticeWV
- O20201210000217Clinic/Group PracticeMD
- O20201221000648Clinic/Group PracticeCA
- O20210119001766Clinic/Group PracticeNC
- O20210429001705Clinic/Group PracticeDC
- O20210913000398Clinic/Group PracticeND
- O20210928001486Clinic/Group PracticeFL
- O20220824003594Clinic/Group PracticeOH
- O20230602002085Clinic/Group PracticeVA
- O20230712000807Clinic/Group PracticeMO
- O20240812000399Clinic/Group PracticeMI
- O20240813002185Clinic/Group PracticeHI
- O20240814001330Clinic/Group PracticeWI
- O20240815001009Clinic/Group PracticeMN
- O20240815001833Clinic/Group PracticeIL
- O20240816002794Clinic/Group PracticePA
- O20240816003027Clinic/Group PracticeNJ
- O20240916003184Clinic/Group PracticeAL
- O20241025002723Clinic/Group PracticeKS
- O20250425000640Clinic/Group PracticeNH
- O20250806001405Clinic/Group PracticeGU
- O20250813004418Clinic/Group PracticeMT
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
- 3370575TN
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.