One provider matched this enrollment ID.
Enrollment ID I20050208001069 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
- I20050208001069Family PracticeID
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
- S4026ID· Issued by BCID
- 000010150482ID· Issued by REGENCE BLUE SHIELD
- 312944ID· Issued by ALTIUS
- S5643ID· Issued by BLUE CROSS OLD
- 000010140863ID· Issued by BSID
- S6114ID· Issued by BLUE CROSS
- 266530ID· Issued by ALTIUS OLD
Medicaid
- 1699723569MT
- Z3649UT
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.