One provider matched this enrollment ID.
Enrollment ID I20040102000109 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds a Medicare enrollment 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
- I20040102000109General SurgeryPA
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
Other
- 611550MD· Issued by CAREFIRST MD BCBS
- 20030444PA· Issued by AMERIHEALTH MERCY-WMG
- 147491PA· Issued by UNISON-WMG
- 1536272PA· Issued by GATEWAY-WMG
- 1542793PA· Issued by HIGHMARK BLUE SHIELD
- 2118573PA· Issued by MAMSI-WMG
- 90900PA· Issued by GEISINGER
- 7172196PA· Issued by AETNA
- 2226915000PA· Issued by AMERIHEALTH 65 PA
- 031120PA· Issued by JOHNS HOPKINS
- 50022713PA· Issued by CAPITAL BLUE CROSS-WMG
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.