One provider matched this enrollment ID.
Enrollment ID O20220501000000 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 8 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
- O20031218000702Clinic/Group PracticeCO
- O20210715004257Clinic/Group PracticeKY
- O20220501000000Clinic/Group PracticeTX
- O20230831001355Clinic/Group PracticeFL
- O20230915001802Clinic/Group PracticeNC
- O20240422001161Clinic/Group PracticeOR
- O20240513002961Clinic/Group PracticeIL
- O20240822002428Clinic/Group PracticeWA
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
- RA16604CO· Issued by GROUP BCBS #
Medicaid
- 04166047CO
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.