One provider matched this enrollment ID.
Enrollment ID O20231024001063 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 48 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
- O20210128001097Clinic/Group PracticeNY
- O20210224001755Clinic/Group PracticeNC
- O20210325000948Clinic/Group PracticeFL
- O20210330001165Clinic/Group PracticeTX
- O20210407000564Clinic/Group PracticeGA
- O20210524000750Clinic/Group PracticeNJ
- O20210603001554Clinic/Group PracticeCT
- O20210622000180Clinic/Group PracticePA
- O20230503000960Clinic/Group PracticeAR
- O20230628003348Clinic/Group PracticeIA
- O20230703001174Clinic/Group PracticeAL
- O20230712002135Clinic/Group PracticeWA
- O20230712003615Clinic/Group PracticeCO
- O20230712003713Clinic/Group PracticeIL
- O20230713001095Clinic/Group PracticeID
- O20230713001354Clinic/Group PracticeWY
- O20230719003295Clinic/Group PracticeWI
- O20230807000378Clinic/Group PracticeTN
- O20230808002431Clinic/Group PracticeIN
- O20230808003640Clinic/Group PracticeMO
- O20230818000770Clinic/Group PracticeRI
- O20230901003448Clinic/Group PracticeME
- O20230908003065Clinic/Group PracticeOK
- O20230908003314Clinic/Group PracticeLA
- O20230914002102Clinic/Group PracticeMN
- O20230920000518Clinic/Group PracticeDC
- O20230920004057Clinic/Group PracticeOH
- O20230921002218Clinic/Group PracticeNV
- O20231003002704Clinic/Group PracticeND
- O20231011002314Clinic/Group PracticeUT
- O20231017002175Clinic/Group PracticeMD
- O20231024001063Clinic/Group PracticeMT
- O20231207000446Clinic/Group PracticeMA
- O20231215001222Clinic/Group PracticeMI
- O20231218000909Clinic/Group PracticeKS
- O20231218001824Clinic/Group PracticeNH
- O20231220000556Clinic/Group PracticeDE
- O20240124001610Clinic/Group PracticeNM
- O20240224000079Clinic/Group PracticeOR
- O20240226000124Clinic/Group PracticeNE
- O20240227000231Clinic/Group PracticeAZ
- O20240302000629Clinic/Group PracticeSC
- O20240304000635Clinic/Group PracticeSD
- O20240429003370Clinic/Group PracticeVT
- O20240501000951Clinic/Group PracticeWV
- O20240507003400Clinic/Group PracticeHI
- O20240625002518Clinic/Group PracticeVA
- O20240711002366Clinic/Group PracticeKY
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
- 05875296NY
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.