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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20041208000412 resolves to a single NPI record. Open the full profile for complete detail.

Single match found
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EG
NPI · 1548227309 · Active
Eric Gershenbaum M.D.
Ophthalmology Physician · Freehold, New Jersey
Active
NPI
1548227309
Enrollment ID
I20041208000412
Taxonomy
207W00000X
Type
Practitioner - Ophthalmology

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

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

  • 201262468NJ· Issued by QUALCARE
  • OXFORDNJ· Issued by P3547665
  • 278080NJ· Issued by AMERIGROUP
  • NJ7810NJ· Issued by EYEMED
  • 201262468NJ· Issued by MULTIPLAN
  • 2392563000NJ· Issued by AMERIHEALTH
  • 0979343NJ· Issued by CIGNA
  • 201262468NJ· Issued by VISION SERVICE PLAN
  • 3627031NJ· Issued by AETNA
  • 1877842NJ· Issued by UNITED HEALTHCARE
  • 27419NJ· Issued by SPECTERA
  • 8222242NJ· Issued by GHI
  • 201262468NJ· Issued by HORIZON BCBS
  • 201262468NJ· Issued by MAGNACARE
  • 50973NJ· Issued by DAVIS VISION
  • 5641748NJ· Issued by FIRST HEALTH

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.