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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20050802000902 resolves to a single NPI record. Open the full profile for complete detail.

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JR
NPI · 1396749701 · Active
Jeffrey Rose MD
Cardiovascular Disease · Gig Harbor, Washington
Active
NPI
1396749701
Enrollment ID
I20050802000902
Taxonomy
207RC0000X
Type
Practitioner - Cardiovascular Disease (cardiology)

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

  • 0247344WA· Issued by STATE L&I
  • 0249912WA· Issued by STATE L&I
  • G8906702WA· Issued by MEDICARE
  • 0150352WA· Issued by WA STATE DEPARTMENT OF L&
  • 060065814WA· Issued by RAILROAD MEDICARE
  • 0257325WA· Issued by STATE L&I
  • 0290111WA· Issued by L&I
  • P00765954WA· Issued by RAILROAD
  • 8950251WA· Issued by CRIME VICTIM
  • 5406ROWA· Issued by REGENCE HEALTHCARE
  • 634841-001WA· Issued by GROUP HEALTH
  • P00826850WA· Issued by RAILROAD
  • 0245392WA· Issued by STATE L&I
  • 0245561WA· Issued by STATE L&I
  • 0301000WA· Issued by STATE L&I

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.