One provider matched this enrollment ID.
Enrollment ID I20031111000236 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 2 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.
Practitioner
- I20031111000236Family PracticeNM
- I20250912000455Family 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
- 201042926NM· Issued by PRESBYTERIAN HEALTH/SALUD
- NM009L08NM· Issued by BC/BS
- 11491288NM· Issued by CAQH
- 806226AZ· Issued by AHCCCS
- QMP000003701894NM· Issued by MOLINA
- 85031326887301A162· Issued by CHAMPUS
Medicaid
- 77609867NM
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.