One provider matched this enrollment ID.
Enrollment ID O20240711001245 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
- O20031125000896Clinic/Group PracticeWA
- O20200501001503Clinic/Group PracticeCA
- O20220110000824Clinic/Group PracticeHI
- O20220627001586Clinic/Group PracticeUT
- O20220801002607Clinic/Group PracticeVA
- O20220811000481Clinic/Group PracticeAZ
- O20220811002363Clinic/Group PracticeOR
- O20220909000012Clinic/Group PracticeFL
- O20221103002799Clinic/Group PracticeMA
- O20221202000482Clinic/Group PracticeTX
- O20231020002232Clinic/Group PracticeGA
- O20231122000281Clinic/Group PracticeNE
- O20231130000851Clinic/Group PracticeMI
- O20240410000950Clinic/Group PracticeMO
- O20240418000021Clinic/Group PracticeDC
- O20240423000363Clinic/Group PracticeAL
- O20240423001259Clinic/Group PracticeNC
- O20240614003382Clinic/Group PracticeNV
- O20240624000191Clinic/Group PracticePA
- O20240708003362Clinic/Group PracticeIA
- O20240711001245Clinic/Group PracticeID
- O20240822002990Clinic/Group PracticeSC
- O20241113002414Clinic/Group PracticeCO
- O20250424000132Clinic/Group PracticeCT
- O20250523001155Clinic/Group PracticeMD
- O20250627000068Clinic/Group PracticeOK
- O20250910000164Clinic/Group PracticeOH
- O20250919003581Clinic/Group PracticeTN
- O20251124001004Clinic/Group PracticeIL
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
- 7118227WA
Other
- 175238WA· Issued by GROUP LABOR & INDUSTRIES
- 8933574WA· Issued by GROUP CRIME VICTIMS
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.