One provider matched this enrollment ID.
Enrollment ID I20040407000301 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 4 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
- I20040407000301Emergency MedicineME
- I20190426000457Emergency MedicineVT
- I20200109001185Emergency MedicineMA
- I20240329002784Emergency MedicineNH
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
- AA48943ME· Issued by HARVARD PILGRIM
- 3844033ME· Issued by AETNA
- 8203907ME· Issued by CIGNA
- 061435ME· Issued by ANTHEM
- 1770663312ME· Issued by TRICARE
- 010453642ME· Issued by GREAT WEST/ONE HEALTH
- P00302743ME· Issued by RR MEDICARE
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.