One provider matched this enrollment ID.
Enrollment ID O20220105000242 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 9 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
- O20031113000847Clinic/Group PracticeCA
- O20091218000131Clinic/Group PracticeHI
- O20160721002442Clinic/Group PracticeCO
- O20220105000242Clinic/Group PracticeTX
- O20220131000655Clinic/Group PracticeVA
- O20230516002699Clinic/Group PracticeSD
- O20240409001725Clinic/Group PracticeAR
- O20250303000938Other Part B SupplierOR
- O20260216001398Clinic/Group PracticeNM
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
- 169891CA· Issued by BLUESHIELD OF CA
- 347104CA· Issued by ANTHEM BLUE CROSS
- 379577200CA· Issued by DEPARTMENT OF LABOR
Medicaid
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.