One provider matched this enrollment ID.
Enrollment ID I20041005000943 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
- I20041005000943Family PracticeOR
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
- 287558OR
Other
- 911768081· Issued by UNITED HEALTHCARE
- 069013001· Issued by BLUE CROSS/BLUE SHIELD
- 150756· Issued by WA LABOR & INDUSTRY
- 911768081· Issued by HEALTHNET
- 3004113-13OR· Issued by BLUE CROSS HMO
- ODSOR· Issued by 911768081
- 7590294· Issued by AETNA
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.