One provider matched this enrollment ID.
Enrollment ID I20040120000076 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 3 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
- I20040120000076Diagnostic RadiologyWI
- I20080208000464Diagnostic RadiologyMN
- I20080611000719Diagnostic RadiologyND
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
- 943381052811MN· Issued by PREFERRED ONE
- 54R74REMN· Issued by BLUE CROSS AND BLUE SHIELD OF MN
- 161312MN· Issued by UCARE
- 1659340180MN· Issued by MEDICA
- 37M86REMN· Issued by BLUE CROSS AND BLUE SHIELD OF MINNESOTA
- 960371052811MN· Issued by PREFERRED ONE
- HP79273MN· Issued by HEALTHPARTNERS
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.