One provider matched this enrollment ID.
Enrollment ID O20240403003305 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 32 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
- O20040917000672Clinic/Group PracticeCA
- O20240313004540Clinic/Group PracticeFL
- O20240314004301Clinic/Group PracticePR
- O20240319000021Clinic/Group PracticePA
- O20240319000063Clinic/Group PracticeNJ
- O20240319000147Clinic/Group PracticeMD
- O20240319000429Clinic/Group PracticeDE
- O20240319001055Clinic/Group PracticeDC
- O20240320002395Clinic/Group PracticeIL
- O20240320004105Clinic/Group PracticeCO
- O20240320004199Clinic/Group PracticeTX
- O20240321003509Clinic/Group PracticeMN
- O20240321004060Clinic/Group PracticeNM
- O20240322000212Clinic/Group PracticeMA
- O20240322000447Clinic/Group PracticeNY
- O20240322001309Clinic/Group PracticeVT
- O20240325002500Clinic/Group PracticeNV
- O20240325003204Clinic/Group PracticeAZ
- O20240326003422Clinic/Group PracticeHI
- O20240403003305Clinic/Group PracticeKS
- O20240417002055Clinic/Group PracticeOR
- O20240418003880Clinic/Group PracticeKY
- O20240422000053Clinic/Group PracticeWY
- O20240424003186Clinic/Group PracticeNC
- O20240430002414Clinic/Group PracticeWI
- O20240502000408Clinic/Group PracticeVA
- O20240520001105Clinic/Group PracticeOH
- O20240620002091Clinic/Group PracticeWA
- O20241021003869Clinic/Group PracticeOK
- O20241226001783Clinic/Group PracticeIN
- O20250203003030Clinic/Group PracticeMI
- O20250519001180Clinic/Group PracticeNE
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
- ZZZ74739ZCA· Issued by BLUE SHIELD OF CALIF
- ZZZ642972CA· Issued by BLUE SHIELD OF CALIF
- ZZZ75588ZCA· Issued by BLUE SHIELD OF CALIF
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.