One provider matched this enrollment ID.
Enrollment ID O20220105001792 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 23 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
- O20040105000605Clinic/Group PracticeNE
- O20040317000474Clinic/Group PracticeIA
- O20210729001370Clinic/Group PracticeOK
- O20210729001809Clinic/Group PracticeCO
- O20210804002835Clinic/Group PracticeCT
- O20210805000348Clinic/Group PracticeFL
- O20210806001368Clinic/Group PracticeMA
- O20210809000871Clinic/Group PracticeNC
- O20210810000616Clinic/Group PracticeMD
- O20210810002665Clinic/Group PracticeUT
- O20210817000349Clinic/Group PracticeDC
- O20210819001487Clinic/Group PracticeIN
- O20210830001606Clinic/Group PracticeWA
- O20210927000074Clinic/Group PracticeSC
- O20220105001792Clinic/Group PracticeCA
- O20220106001241Clinic/Group PracticeTX
- O20220107000758Clinic/Group PracticeAK
- O20220107000884Clinic/Group PracticeNV
- O20220119000739Clinic/Group PracticeVT
- O20220210000248Clinic/Group PracticeWV
- O20220216001881Clinic/Group PracticeAZ
- O20220913003122Clinic/Group PracticeIL
- O20221021000875Clinic/Group PracticeAL
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
Other
- CS9045NE· Issued by RR MEDICARE
- 01939NE· Issued by BCBS
- 17829· Issued by IOWA BCBS
- CG9162IA· Issued by RR MEDICARE
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.