One provider matched this enrollment ID.
Enrollment ID I20050502000307 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
- I20050502000307Cardiovascular Disease (Cardiology)MA
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
- 2272937MA· Issued by AETNA
- 25-00638MA· Issued by UNITED HEALTHCARE
- 060058506MA· Issued by MEDICARE ID
- 1447358874MA· Issued by NETWORK HEALTH
- 3223MA· Issued by HARVARD PILGRIM
- 712757MA· Issued by TUFTS
- 11086042· Issued by CAQH
- 000000030690MA· Issued by BOSTON MEDICAL CENTER
- 1447358874MA· Issued by UNICARE
- 1447358874MA· Issued by GREAT WEST HEALTHCARE
- 6796921-001MA· Issued by CIGNA
- L15142MA· Issued by BLUE CROSS BLUE SHIELD
- S017060MA· Issued by TRICARE
Medicaid
- 0168637MA
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.