One provider matched this enrollment ID.
Enrollment ID I20041230000366 resolves to a single NPI record. Open the full profile for complete detail.
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
- I20041230000366Physical Therapist in Private PracticeNY
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
- 000405998001NY· Issued by BLUE SHIELD OF NORTHEASTE
- Q66832NY· Issued by EMPIRE BCBS
- 110409700· Issued by US DEPT OF LABOR OWCP
- Q66831NY· Issued by EMPIRE BLUE CROSS/EMPIRE
- 141733498NY· Issued by EMPIRE STATE PLAN GROUP
- GRP405998002NY· Issued by BLUE SHIELD OF NORTHEASTE
- 650005243· Issued by RAILROAD MEDICARE
- 819687NY· Issued by EMPIRE STATE PLAN
- 141733498NY· Issued by EXCELLUS BLUE CROSS BLUE
- P01010652NY· Issued by EXCELLUS
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.