One provider matched this enrollment ID.
Enrollment ID O20221122000847 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
- O20190327003225Clinic/Group PracticeAZ
- O20190521000248Clinic/Group PracticeTX
- O20190708000646Clinic/Group PracticeCA
- O20190826001158Clinic/Group PracticeOR
- O20191115000214Clinic/Group PracticePA
- O20220729001836Clinic/Group PracticeWI
- O20221012000395Clinic/Group PracticeTN
- O20221027002270Clinic/Group PracticeFL
- O20221122000847Clinic/Group PracticeNV
- O20221202001633Clinic/Group PracticeUT
- O20230215001611Clinic/Group PracticeVA
- O20230221001593Clinic/Group PracticeIL
- O20231103001353Clinic/Group PracticeNC
- O20231206001904Clinic/Group PracticeAL
- O20240109001134Clinic/Group PracticeGA
- O20240205000196Clinic/Group PracticeHI
- O20240223001416Clinic/Group PracticeCO
- O20240722003174Clinic/Group PracticeIN
- O20250403002043Clinic/Group PracticeKY
- O20250407003816Clinic/Group PracticeDE
- O20250408001703Clinic/Group PracticeMT
- O20250409001948Clinic/Group PracticeWV
- O20250724001516Clinic/Group PracticeOH
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
- 468437AZ
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.