One provider matched this enrollment ID.
Enrollment ID I20041207001088 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
- I20041207001088Physical Medicine and RehabilitationDE
- I20220729002346Pain ManagementPA
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
- 294-1408DE· Issued by AETNA/USHC
- 2249384DE· Issued by UNITED HC
- 20-1804154DE· Issued by BC/BS
- 186164DE· Issued by COVENTRY
- 6265452DE· Issued by CIGNA
- 2408065000DE· Issued by KEYSTONE/AMERIHEALTH
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.