One provider matched this enrollment ID.
Enrollment ID O20241024003278 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 9 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
- O20090306000484Clinic/Group PracticeFL
- O20210521001647Clinic/Group PracticeAZ
- O20210726000136Clinic/Group PracticeCA
- O20220617000692Clinic/Group PracticeGA
- O20230428002548Clinic/Group PracticeUT
- O20240131002856Clinic/Group PracticeTX
- O20241022003681Clinic/Group PracticeCT
- O20241024003278Clinic/Group PracticeTN
- O20260116000516Clinic/Group PracticeMO
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
- 00584FL· Issued by BCBS OF FLORIDA
- CC6469FL· Issued by RR 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.