One provider matched this enrollment ID.
Enrollment ID I20041206000554 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
- I20040420000000Cardiovascular Disease (Cardiology)OH
- I20041206000554Internal MedicineGA
- I20130909000298Cardiovascular Disease (Cardiology)WA
- I20140131000572Cardiovascular Disease (Cardiology)KY
- I20180723002602Cardiovascular Disease (Cardiology)WV
- I20200424000681Cardiovascular Disease (Cardiology)WI
- I20200514003090Interventional CardiologyNC
- I20220629002325Cardiovascular Disease (Cardiology)MI
- I20240115001267Interventional CardiologyAZ
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
- 7155SD· Issued by DAKOTACARE
- P00349727DC· Issued by RAILROAD MEDICARE DC #
- 4992405· Issued by WELLMARK BC/BS OF SD
- D41471053799SD· Issued by PREFERRED ONE
- 255328SD· Issued by MIDLAND'S CHOICE
- HP88606SD· Issued by HEALTH PARTNERS
- P00450455VA· Issued by RAILROAD MEDICARE # VA
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.