One provider matched this enrollment ID.
Enrollment ID I20041004000415 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
- I20041004000415Internal MedicineAZ
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
- 2Z1203AZ· Issued by HEALTH NET
- AZ0758740AZ· Issued by BLUE CROSS BLUE SHIELD
- 3122834AZ· Issued by AETNA HEALTHCARE
- 860750942AZ· Issued by ARIZONA FOUNDATION
- 0402296AZ· Issued by UNITED HEALTHCARE
- 2192402AZ· Issued by FIRST HEALTH
- 8671843002AZ· Issued by CIGNA HEALTHCARE
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.