One provider matched this enrollment ID.
Enrollment ID I20041210000719 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 15 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
- I20041210000719Diagnostic RadiologyTX
- I20191227000082Diagnostic RadiologyFL
- I20201104002696Diagnostic RadiologyNY
- I20210106000823Diagnostic RadiologyIL
- I20210604000366Diagnostic RadiologySC
- I20210811000864Diagnostic RadiologyAZ
- I20220118001805Diagnostic RadiologyCA
- I20220518002040Diagnostic RadiologyOH
- I20230125002004Diagnostic RadiologyTN
- I20240111000797Diagnostic RadiologyWA
- I20240313003694Diagnostic RadiologyKY
- I20240703001929Diagnostic RadiologyNM
- I20250217002352Diagnostic RadiologyWI
- I20250520002028Diagnostic RadiologyCO
- I20260203002241Diagnostic RadiologyCT
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
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.