One provider matched this enrollment ID.
Enrollment ID I20040602000953 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 2 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
- I20040602000953Hematology/OncologyMI
- I20190913001046HematologyIN
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
- 01008954MI· Issued by HEALTHPLUS OF MICHIGAN
- 0N89040MI· Issued by MEDICARE PLUS BLUE MICHIGAN
- 14662MI· Issued by HEALTH PLAN OF MICHIGAN HMO
- F59303MI· Issued by TRICARE
- 830007320MI· Issued by RAIL ROAD MEDICARE
- 3600159MI· Issued by PHP MID MICHIGAN
- 383578337053MI· Issued by CARE SOURCE MEDICAID HMO
- JL010182MI· Issued by BLUE CROSS BLUE SHIELD MICHIGAN
- 123610MI· Issued by GREAT LAKES MEDICAID HMO
Medicaid
- 4290016MI
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.