One provider matched this enrollment ID.
Enrollment ID I20041220000090 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 3 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
- I20041220000090Diagnostic RadiologyUT
- I20050525001327Diagnostic RadiologyID
- I20180706002180Diagnostic RadiologyHI
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
- P00212187· Issued by RAILROAD MEDICARE
- 0198298WA· Issued by LABOR & INDUSTRIES
- 74229ID· Issued by BLUE CROSS OF IDAHO
- 11304701ID· Issued by MEDICARE
- 000010150561ID· Issued by REGENCE BS OF IDAHO
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.