One provider matched this enrollment ID.
Enrollment ID I20041130000004 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
- I20041130000004Obstetrics/GynecologyPA
- I20190219000033Obstetrics/GynecologyNJ
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
- 0184927006PA· Issued by AMERICHOICE
- 02640PA· Issued by HEALTH PARTNERS
- 1652891PA· Issued by BC/BS HIGHMARK GROUP
- 2330386000PA· Issued by BC/BS KEY, PER. GROUP
- 33658PA· Issued by HEALTH PARTNERS
- 3716959PA· Issued by AETNA US HEALTHCARE GROUP
- 00866773000PA· Issued by BC/BS KEYSTONE, PERSONAL
- 33657PA· Issued by HEALTH PARTNERS
- 33659PA· Issued by HEALTH PARTNERS
- 3716982PA· Issued by AETNA US HEALTHCARE HMO
- 30018993PA· Issued by KEYSTONE MERCY
- 923742PA· Issued by BC/BS SHIELD HIGHMARK
- 30018989PA· Issued by KEYSTONE MERCY GROUP
- 5824670PA· Issued by AETNA US HEALTHCARE
Medicaid
- 00184927PA
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.