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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20040130000124 resolves to a single NPI record. Open the full profile for complete detail.

Single match found
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JB
NPI · 1548260078 · Active
Juan Bonilla M.D.
Pediatric Otolaryngology Physician · San Antonio, Texas
Active
NPI
1548260078
Enrollment ID
I20040130000124
Taxonomy
207YP0228X
Type
Practitioner - Otolaryngology

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

  • G4841TX· Issued by STATE LIC
  • F0072234· Issued by DPS

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.