One provider matched this enrollment ID.
Enrollment ID O20230120002453 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 29 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
- O20040211000326Clinic/Group PracticeWA
- O20130506000178Clinic/Group PracticeOR
- O20220816001250Clinic/Group PracticeCA
- O20220816003734Clinic/Group PracticeMO
- O20220916000266Clinic/Group PracticeAK
- O20220921002076Clinic/Group PracticeNY
- O20221003000663Clinic/Group PracticeDC
- O20221103001888Clinic/Group PracticeNC
- O20221108003706Clinic/Group PracticeNJ
- O20221208000505Clinic/Group PracticeGA
- O20230119001361Clinic/Group PracticeAZ
- O20230120002453Clinic/Group PracticeAL
- O20230128000346Clinic/Group PracticeFL
- O20230207001563Clinic/Group PracticeCT
- O20230623001348Clinic/Group PracticeTX
- O20231002002797Clinic/Group PracticeMI
- O20231004003434Clinic/Group PracticeNV
- O20231005002892Clinic/Group PracticeCO
- O20231026003893Clinic/Group PracticeUT
- O20231030001403Clinic/Group PracticeMT
- O20231115002188Clinic/Group PracticeTN
- O20240605001312Clinic/Group PracticePA
- O20240805001727Clinic/Group PracticeIA
- O20250402000792Clinic/Group PracticeOK
- O20251003000587Clinic/Group PracticeWI
- O20251027004694Clinic/Group PracticeSC
- O20260214000006Clinic/Group PracticeMA
- O20260223000969Clinic/Group PracticeHI
- O20260304003905Clinic/Group PracticeMN
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
- CR0042WA· Issued by RR MEDICARE
- 40700WA· Issued by LABOR AND INDUSTRIES/DSHS
- P03231WA· Issued by REGENCE BLUE SHIELD
Medicaid
- 7820707WA
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.