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Medicare enrollment lookup

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Enrollment ID I20040123000239 resolves to a single NPI record. Open the full profile for complete detail.

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OA
NPI · 1578552477 · Active
Olayiwola Adetunji Mbbs
Hospitalist · St Cloud, Minnesota
Active
NPI
1578552477
Enrollment ID
I20040123000239
Taxonomy
208M00000X
Type
Practitioner - Internal Medicine

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

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

  • 2014147· Issued by ARAZ GROUP/AMERICA'S PPO
  • 1040299· Issued by PREFERRED ONE
  • P00081376· Issued by RR MEDICARE
  • 0406311· Issued by MEDICA HEALTH PLANS
  • 706S1AD· Issued by BLUE CROSS BLUE SHIELD
  • HP40371· Issued by HEALTH PARTNERS
  • 131162· Issued by U-CARE
  • 2157310· Issued by FIRST HEALTH PLAN
  • 660903100· Issued by MEDICAL ASSISTANCE

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.