One provider matched this enrollment ID.
Enrollment ID O20231024004175 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
- O20040714001317Clinic/Group PracticeFL
- O20141013000603Clinic/Group PracticeHI
- O20180213003165Clinic/Group PracticeAZ
- O20190711001859Clinic/Group PracticeCO
- O20190717002243Clinic/Group PracticeTX
- O20190729002602Clinic/Group PracticeAL
- O20190730000895Clinic/Group PracticeMI
- O20190917004315Clinic/Group PracticeNC
- O20191111002152Clinic/Group PracticeCA
- O20200226001916Clinic/Group PracticePA
- O20200306002073Clinic/Group PracticeGA
- O20200506002121Clinic/Group PracticeRI
- O20200506003030Clinic/Group PracticeNV
- O20200511000102Clinic/Group PracticeDC
- O20200511003424Clinic/Group PracticeTN
- O20200519000806Clinic/Group PracticeOR
- O20200519001020Clinic/Group PracticeGU
- O20200521003033Clinic/Group PracticeKY
- O20200522002661Clinic/Group PracticeSC
- O20200609000704Clinic/Group PracticeMT
- O20200610001970Clinic/Group PracticeOH
- O20200625000274Clinic/Group PracticeMS
- O20200908002330Clinic/Group PracticeWI
- O20200921000939Clinic/Group PracticeNE
- O20201203000372Clinic/Group PracticeLA
- O20210302002374Clinic/Group PracticeIL
- O20210505000069Clinic/Group PracticeMD
- O20210608003323Clinic/Group PracticeNY
- O20210624000499Clinic/Group PracticeMN
- O20210628002584Clinic/Group PracticeVA
- O20210929000731Clinic/Group PracticeOK
- O20211011000288Clinic/Group PracticeMO
- O20211012000512Clinic/Group PracticeDE
- O20220303000736Clinic/Group PracticeID
- O20220309000945Clinic/Group PracticeME
- O20220408000998Clinic/Group PracticeIA
- O20220418000872Clinic/Group PracticeWA
- O20220420002318Clinic/Group PracticeKS
- O20220421001227Clinic/Group PracticeNH
- O20220421002160Clinic/Group PracticeMA
- O20220509000584Clinic/Group PracticeCT
- O20220610000249Clinic/Group PracticeNJ
- O20220818001222Clinic/Group PracticeIN
- O20230220002180Clinic/Group PracticeUT
- O20230320001431Clinic/Group PracticeNM
- O20231024004175Clinic/Group PracticePR
- O20231102000700Clinic/Group PracticeWV
- O20250923003801Clinic/Group PracticeAK
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
Other
- CK0014GA· Issued by RAILROAD MEDICARE
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.