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One provider matched this enrollment ID.

Enrollment ID I20050419001084 resolves to a single NPI record. Open the full profile for complete detail.

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BB
NPI · 1508853821 · Active
Brad Baker MD
Retina Specialist (Ophthalmology) Physician · Worcester, Massachusetts
Active
NPI
1508853821
Enrollment ID
I20050419001084
Taxonomy
207WX0107X
Type
Practitioner - Ophthalmology

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

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

  • 346887MA· Issued by AETNA
  • A3273704MA· Issued by MEDICARE PTAN
  • 153541MA· Issued by HARVARD PILGRIM HEALTH CA
  • 210064MA· Issued by TUFTS HEALTH PLAN
  • J23796MA· Issued by BCBS
  • 6791968005MA· Issued by CIGNA

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.