One provider matched this enrollment ID.
Enrollment ID I20040802000987 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
- I20040802000987Advanced Heart Failure and Transplant CardiologyWA
- I20160317001989Cardiovascular Disease (Cardiology)MT
- I20190827000420Cardiovascular Disease (Cardiology)TX
- I20250225001594Interventional CardiologySD
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
- 2547COWA· Issued by REGNECE BLUE SHIELD
- A058WA· Issued by TRI WEST (TRICARE)
- 0279971WA· Issued by L&I AND CRIME VICTIMS FOR PHMG
- 5793737WA· Issued by AETNA
- 82107WA· Issued by L&I AND CRIME VICTIMS FOR SJMC
Medicaid
- 8402372WA
- MD6425AK
- 1255381109WA
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.