One provider matched this enrollment ID.
Enrollment ID I20040811001213 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
- I20040811001213Internal MedicineNY
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
- 42-1636490NY· Issued by HUMANA
- 421636490NY· Issued by EMPIRE
- P010100730NY· Issued by BLUE CHOICE
- 2710199NY· Issued by AETNA
- 42-1636490NY· Issued by TRICARE
- 421636490NY· Issued by UNITED HEALTH CARE
- 00010372202NY· Issued by UNIVERA
- 224172-7BNY· Issued by WORKERS COMPENSATION
- 000525403002NY· Issued by BCBS WNY
- P020100730NY· Issued by BLUE SHIELD
- 106101BJNY· Issued by PREFERRED CARE
- 2514266NY· Issued by GHI
- 000525403003NY· Issued by BCBS WNY
- 7774326NY· Issued by AETNA
- 0410493NY· Issued by INDEPEDENT HEALTH
Medicaid
- 01916687NY
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.