One provider matched this enrollment ID.
Enrollment ID I20050302000609 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
- I20050302000609Internal MedicineMA
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
- 468128MA· Issued by TUFTS
- 31526MA· Issued by HEALTH NEW ENGLAND
- J25433MA· Issued by BCBS
- 361432MA· Issued by MVP (MOHAWK VALLEY PLAN)
- 695067MA· Issued by HPHC
- 1392573MA· Issued by CIGNA
- 7765386MA· Issued by AETNA/US HEALTHCARE
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.