One provider matched this enrollment ID.
Enrollment ID I20040407000298 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 5 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
- I20040407000298Diagnostic RadiologyMO
- I20060915000414Diagnostic RadiologyIL
- I20200701003029Diagnostic RadiologyNH
- I20200804000667Radiation OncologyWV
- I20230424001582Diagnostic RadiologyKY
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
- 1601306MO· Issued by UHC
- 462197MO· Issued by HEALTHLINK
- 431142188OSU· Issued by MERCY
- 300122906· Issued by TRAVELERS
- 000000014047MO· Issued by ESSENCE
- 140376000· Issued by DEPT OF LABOR
- 283240MO· Issued by GHP
- 08221955IL· Issued by ILLINOIS BLUE
- 08221955MO· Issued by BLUE SHIELD
- 144352MO· Issued by BCBS
- 2207727MO· Issued by CIGNA
- 34311V3431MO· Issued by HEALTHCARE USA
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.