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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20040127000482 resolves to a single NPI record. Open the full profile for complete detail.

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JK
NPI · 1326116344 · Active
Josan Ko O.D.
Optometrist · Brooklyn Park, Minnesota
Active
NPI
1326116344
Enrollment ID
I20040127000482
Taxonomy
152W00000X
Type
Practitioner - Optometry

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

  • 22-02901MN· Issued by MEDICA
  • J52607MN· Issued by DAVIS VISION
  • 166K5KOMN· Issued by BCBSM
  • MN02869MN· Issued by VBA
  • 19982MN· Issued by NVA
  • 181414MN· Issued by UCARE MINNESOTA
  • 26833MN· Issued by SPECTERA
  • 244301040082MN· Issued by PREFERRED ONE
  • 9529921700MN· Issued by PATIENT CHOICE

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.