One provider matched this enrollment ID.
Enrollment ID I20040202000768 resolves to a single NPI record. Open the full profile for complete detail.
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
- I20040202000768Family PracticeMI
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.
Medicaid
Other
- 150960· Issued by GREAT LAKES HEALTH PLAN
- 321MI· Issued by CARE SOURCE OF MICHIGAN
- 1017365MI· Issued by MCLAREN HEALTH PLAN OF MI
- P00380702MI· Issued by RAILROAD MEDICARE
- 080G310660MI· Issued by BLUE CROSS BLUE SHIELD OF MICHIGAN
- 0980802MI· Issued by HEALTHPLUS OF MICHIGAN
- 381908328· Issued by PPOM
- 4671988· Issued by MOLINA HEALTH CARE OF MI
- 7606126MI· Issued by AETNA
- 381908328· Issued by HCAP
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.