One provider matched this enrollment ID.
Enrollment ID I20040127001059 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 7 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
- I20040127001059Diagnostic RadiologyTN
- I20060414000026Diagnostic RadiologyVA
- I20190627001040Diagnostic RadiologyWI
- I20190930000223Diagnostic RadiologyDC
- I20250519003067Diagnostic RadiologyAL
- I20250711003213Diagnostic RadiologyND
- I20250814001967Diagnostic RadiologyTX
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
- 64064280KY· Issued by KY MEDICAID
- 4062691TN· Issued by BCBS
- P00942156TN· Issued by RR MEDICARE - MTI
- 4062694TN· Issued by BCBS
- 4089871TN· Issued by BCBS
- 6440642TN· Issued by CIGNA
- 1509270TN· Issued by MEDICAID - MTI
- 4291387TN· Issued by BCBS - MTI
- P00011592TN· Issued by RAILROAD 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.