One provider matched this enrollment ID.
Enrollment ID O20221010002115 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 21 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
- O20031201000544Clinic/Group PracticeVA
- O20200226000128Clinic/Group PracticeCA
- O20200306002160Clinic/Group PracticeFL
- O20221003002667Clinic/Group PracticeOH
- O20221010002115Clinic/Group PracticeTN
- O20221017000706Clinic/Group PracticeIL
- O20221019002580Clinic/Group PracticeOR
- O20230207000206Clinic/Group PracticeWA
- O20230309002104Clinic/Group PracticeMI
- O20230314001451Clinic/Group PracticeMA
- O20230323002208Clinic/Group PracticeMO
- O20230329002247Clinic/Group PracticeNC
- O20230530001780Clinic/Group PracticeAZ
- O20230808002689Clinic/Group PracticeMN
- O20230809001027Clinic/Group PracticeCT
- O20231023003571Clinic/Group PracticeMD
- O20240206000641Clinic/Group PracticeKY
- O20250123003475Clinic/Group PracticePR
- O20250430002040Clinic/Group PracticeIN
- O20250919000911Clinic/Group PracticeCO
- O20260209000699Clinic/Group PracticeDC
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
- 165565VA· Issued by OPTIMA
- CA5826VA· Issued by RR MEDICARE
- 02126NC· Issued by BCBS
- 100042VA· Issued by SENTARA
- 139178VA· Issued by BCBS
- 165565VA· Issued by SENTARA
- 100042VA· Issued by OPTIMA
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.