One provider matched this enrollment ID.
Enrollment ID I20040702000418 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
- I20040702000418Vascular SurgeryTN
- I20120327000720Vascular SurgeryUT
- I20170310000518Vascular SurgeryTX
- I20251001003410Vascular SurgeryNC
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
- 1558355511VA
- 3860965TN
- Q030493TN
Other
- P00136769· Issued by RR MEDICARE
- TN0181· Issued by JDH
- 8856383· Issued by CIGNA
- 4082499· Issued by BCBS OF TN
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.