One provider matched this enrollment ID.
Enrollment ID I20051220000069 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 6 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
- I20040204000273Diagnostic RadiologyOH
- I20051220000069Diagnostic RadiologyWV
- I20080527000615Diagnostic RadiologyKY
- I20200316000176Diagnostic RadiologyFL
- I20200706002323Diagnostic RadiologyGA
- I20251015000610Diagnostic RadiologyNH
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
- 50007266KY· Issued by PASSPORT
- 7393619· Issued by AETNA
- 000000196556OH· Issued by UNISON
- 001718782· Issued by MTN STATE BC BS
- 300130252WV· Issued by RR MEDICARE (WV)
- 55049337600WV· Issued by WORKMANS COMP
- P00766037KY· Issued by RR MEDICARE (KY)
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.