One provider matched this enrollment ID.
Enrollment ID I20040402000457 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
- I20040402000457Internal MedicineMN
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
- 1031906MN· Issued by PREFERRED ONE
- 523P9EAMN· Issued by BCBS OF MN
- 142167MN· Issued by UCARE
- 04-07812MN· Issued by MEDICA
- 2443412MN· Issued by AMERICA'S PPO
- HP10369MN· Issued by HEALTH PARTNERS
- 0408822MN· Issued by MEDICA CHOICE
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.