One provider matched this enrollment ID.
Enrollment ID I20040811001224 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
- I20040811001224Diagnostic RadiologyWA
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
- 126222WA· Issued by LABOR AND INDUSTRIES/WC TRA
- 300095008WA· Issued by RR MEDICARE UNION AVENUE OPEN
- G8927711WA· Issued by PTAN-UAOM
- KH8284WA· Issued by REGENCE BLUE SHIELD TRA
- G8882898WA· Issued by PTAN-MIO1
- 0249541WA· Issued by LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
- 157409WA· Issued by LABOR AND INDUSTRIES/WC UNION AVENUE OPEN
- 300095009WA· Issued by RR MEDICARE TRA
- AB36525WA· Issued by MEDICARE PIN TRA KING COUNTY
- 7252KHWA· Issued by REGENCE BLUE SHIELD UNION AVENUE OPEN
- 8951843WA· Issued by LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST
- AB34171WA· Issued by MEDICARE PIN UNION AVE OPEN
Medicaid
- 8238743WA
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.