One provider matched this enrollment ID.
Enrollment ID I20041202000004 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 9 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
- I20041202000004Family PracticeTX
- I20251027001736Family PracticeCT
- I20251103000184Family PracticeNH
- I20251103003246Family PracticeOH
- I20251107002193Family PracticeMA
- I20251125004581Family PracticeVA
- I20251203001459Family PracticeME
- I20260121000559Family PracticeNJ
- I20260204002955Family PracticePA
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
- 8BG950TX· Issued by BCBS TX
Medicaid
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.