One provider matched this enrollment ID.
Enrollment ID I20041210000019 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 4 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
- I20040309001089Diagnostic RadiologyCA
- I20041210000019Diagnostic RadiologyNJ
- I20091221000013Diagnostic RadiologyHI
- I20220217001747Diagnostic RadiologyWA
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.
Medicaid
- 200094370AOK
- 8169666WA
- 867632AZ
- 00G252900CA
- 8940606NJ
- 1275519001NV
- 1306604CO
Other
- 300121788CA· Issued by RAILROAD MEDICARE
- 0144891WA· Issued by L&I
- 300123270WA· Issued by RAILROAD MEDICARE
- 8933499WA· Issued by L&I CVCP
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.