One provider matched this enrollment ID.
Enrollment ID I20031204001059 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 6 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
- I20031204001059Internal MedicineFL
- I20101206000179Critical Care (Intensivists)GA
- I20170519001159Critical Care (Intensivists)KY
- I20181108000956Critical Care (Intensivists)IN
- I20190308002723Critical Care (Intensivists)CA
- I20250113001108Critical Care (Intensivists)WV
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
- 78910FL· Issued by BCBS
Medicaid
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.