One provider matched this enrollment ID.
Enrollment ID I20040611001210 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
- I20040611001210Diagnostic RadiologyMI
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
- 4596212MI
Other
- 0H26188MI· Issued by BCBS PROVIDER NUMBER
- 459621210MI· Issued by PROCARE
- P00126294· Issued by RR MEDICARE/PALMETTO GBA
- 145913MI· Issued by GREAT LAKES HEALTH
- 0Q26008056· Issued by FED BLACK LUNG PROGRAM
- 1006439MI· Issued by MCLAREN HEALTH
- 0Q26008MI· Issued by BCBS PROVIDER NUMBER
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.