One provider matched this enrollment ID.
Enrollment ID I20050629001047 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
- I20050629001047General SurgeryNY
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.
Medicaid
- 01129524NY
Other
- 602388900NY· Issued by DEPARTMENT OF LABOR
- 00010099504NY· Issued by UNIVERA
- 000525016003NY· Issued by BLUE CROSS
- 050112000105NY· Issued by FIDELIS
- 1703037NY· Issued by INDEPENDENT HEALTH
- 152342FLNY· Issued by PREFERRED CARE
- P00228108· Issued by RAILROAD MEDICARE
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.