One provider matched this enrollment ID.
Enrollment ID I20041012000586 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
- I20041012000586Internal MedicineMA
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
- 000000021641MA· Issued by BMC HEALTHNET
- 004980MA· Issued by SENIOR WHOLE HEALTH
- 22D1015178MA· Issued by CLIA
- J19903MA· Issued by BLUE SHIELD BILLING ID
- P00039394MA· Issued by RAILROAD PALMETTO GBA
- 4130813MA· Issued by CIGNA BILLING ID
- 00-02362MA· Issued by EVERCARE IP
- 155176MA· Issued by TUFTS
- 04-46128MA· Issued by EVERCARE
- 000000021641MA· Issued by BMC HEALTHNET ID
- 000000033480· Issued by BMC HEALTHNET UNDER LLC
- 68886MA· Issued by HARVARD PILGRIM ID
Medicaid
- 3176576MA
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.