One provider matched this enrollment ID.
Enrollment ID I20041130000562 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
- I20041130000562Internal 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
- Y02665MA· Issued by MEDICARE PTAN
- 00022617· Issued by BOSTON MED ETC
- AA10005· Issued by HARVARD PILGRIM
- J18588MA· Issued by BCBS
- 0020253· Issued by NEIGHBORHOOD HLTH
- 050343MA· Issued by TUFTS
- 290014917· Issued by PALMETTO GBA RAILROAD MED
Medicaid
- 3150496MA
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.