One provider matched this enrollment ID.
Enrollment ID I20041006000213 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 3 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
- I20041006000213Emergency MedicineMA
- I20160210002669Emergency MedicineFL
- I20231218001727Emergency MedicineTX
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
- 930106856MA· Issued by RAILROAD MEDICARE
- 436572MA· Issued by HARVARD PILGRIM
- J22190MA· Issued by BCBS
- 2747956MA· Issued by AETNA
- 000000006703MA· Issued by HEALTHNET
- 24684MA· Issued by HEALTH NEW ENGLAND
- 156085MA· Issued by TUFTS
Medicaid
- 3206734MA
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.