One provider matched this enrollment ID.
Enrollment ID I20041101001053 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 2 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
- I20041101001053Family PracticeKY
- I20060207000838Internal MedicineIN
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
- 200489040IN· Issued by ANTHEM INDIANA MEDICAID- NORTON ICC
- 200489040KY· Issued by MD WISE- NORTON ICC
- 1128117KY· Issued by PASSPORT
- 200489040KY· Issued by HEALTHY INDIANA PLAN- NORTON ICC
- 31K4, 000000179689KY· Issued by ANTHEM
- P00838101IN· Issued by RRMCR - NICC
- 002045573-002· Issued by UNITED HEALTHCARE
- 017376KY· Issued by SIHO - NORTON ICC
- 5832707KY· Issued by AETNA
- P00362331KY· Issued by RRMCR - NICC
- 000000381954KY· Issued by ANTHEM - NORTON ICC
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.