One provider matched this enrollment ID.
Enrollment ID I20041102000466 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
- I20041102000466Cardiovascular Disease (Cardiology)MA
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
- 46361RI· Issued by RI BLUE SHIELD
- 2501622MA· Issued by UNITED HEALTH CARE
- 3236114MA· Issued by AETNA US HEALTH CARE
- J21662MA· Issued by BLUE SHIELD
- 0016492MA· Issued by NEIGHBORHOOD HEALTH
- 000000026735MA· Issued by BMC HEALTHNET PLAN
- 304698MA· Issued by HARVARD PILGRIM
- 157823MA· Issued by TUFTS HEALTH PLAN
- 410666RI· Issued by BLUE CHIP
- 060071429MA· Issued by RAILROAD MEDICARE
- DF49724RI· Issued by EDS
Medicaid
- 3204499MA
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.