One provider matched this enrollment ID.
Enrollment ID I20040102000696 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 5 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
- I20040102000696Pediatric MedicineMN
- I20040508000135Pediatric MedicineIL
- I20040512000993Pediatric MedicineND
- I20140912000711Cardiovascular Disease (Cardiology)WI
- I20250616000174Pediatric MedicineIN
Source: CMS PECOS public enrollment file.
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.