One provider matched this enrollment ID.
Enrollment ID O20211117002679 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 15 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
- O20210311001085Clinic/Group PracticeKY
- O20210916001138Clinic/Group PracticeNE
- O20211014001876Clinic/Group PracticeOH
- O20211103001213Clinic/Group PracticeTX
- O20211117002679Clinic/Group PracticeWA
- O20211122000873Clinic/Group PracticeMI
- O20220315000920Clinic/Group PracticeTN
- O20230731001668Clinic/Group PracticeAZ
- O20230811001749Clinic/Group PracticeIN
- O20230915000156Clinic/Group PracticeNC
- O20231214002601Clinic/Group PracticeGA
- O20231220001648Clinic/Group PracticeSC
- O20240212003038Clinic/Group PracticeCT
- O20240228003501Clinic/Group PracticeIL
- O20240513000160Clinic/Group PracticeIA
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
- 9822874MI
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.