One provider matched this enrollment ID.
Enrollment ID I20041111000174 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 21 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
- I20040211000204Diagnostic RadiologyOH
- I20041111000174Diagnostic RadiologyMI
- I20050511000671Diagnostic RadiologyPA
- I20150403000479Diagnostic RadiologyVA
- I20150417001339Diagnostic RadiologyWV
- I20200807000704Diagnostic RadiologyOK
- I20201124000523Diagnostic RadiologyTX
- I20210118000601Diagnostic RadiologyAK
- I20210802000180Diagnostic RadiologyGA
- I20220302003118Diagnostic RadiologyNV
- I20230111002542Diagnostic RadiologyKY
- I20230209002761Diagnostic RadiologyNJ
- I20230322001096Diagnostic RadiologyMO
- I20230327002021Diagnostic RadiologyAZ
- I20230404001638Diagnostic RadiologyFL
- I20230503000461Diagnostic RadiologyNY
- I20230509003135Diagnostic RadiologyNC
- I20241219001471Diagnostic RadiologyCA
- I20250212003541Diagnostic RadiologyHI
- I20250812004642Diagnostic RadiologyWI
- I20250826001366Diagnostic RadiologyKS
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
- 0744912OH
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.