One provider matched this enrollment ID.
Enrollment ID I20040102000171 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
- I20040102000171DermatologyMN
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
- 596562· Issued by ARAZ GROUP/AMERICAS PPO
- 167075100· Issued by MEDICAL ASSISTANCE
- 0300313· Issued by MEDICA HEALTH PLANS
- 39A76LA· Issued by BLUE CROSS BLUE SHIELD
- HP16582· Issued by HEALTH PARTNERS
- 2114100· Issued by FIRST HEALTH PLAN
- 1013504· Issued by PREFERRED ONE
- 117106· Issued by U CARE
- CU0204· Issued by RR MEDICARE
- P00072851· Issued by RR MEDICARE
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.