One provider matched this enrollment ID.
Enrollment ID I20051026001065 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 3 Medicare enrollments 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
- I20051026001065Diagnostic RadiologyMO
- I20051114000752Diagnostic RadiologyIL
- I20230510001755Diagnostic RadiologyKY
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
- 036-113421IL· Issued by IL BLUE CROSS BLUE SHIELD
- 716339· Issued by HEALTHLINK
- 063896· Issued by HEALTH ALLIANCE
- 185214MO· Issued by MO BLUE CROSS BLUE SHIELD
- 430954380CAP· Issued by MERCY HEALTH PLAN
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.