One provider matched this enrollment ID.
Enrollment ID O20221017003000 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
- O20050309000260Clinic/Group PracticePA
- O20220928001010Clinic/Group PracticeMN
- O20220929001954Clinic/Group PracticeTX
- O20221006001602Clinic/Group PracticeMA
- O20221017003000Clinic/Group PracticeWA
- O20221021000285Clinic/Group PracticeCA
- O20230228002318Clinic/Group PracticeKY
- O20240415000085Clinic/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.
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.