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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20060302000612 resolves to a single NPI record. Open the full profile for complete detail.

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GG
NPI · 1689606287 · Active
Glenn Gourley M.D.
Pediatric Gastroenterology Physician · Minneapolis, Minnesota
Active
NPI
1689606287
Enrollment ID
I20060302000612
Taxonomy
2080P0206X
Type
Practitioner - Gastroenterology

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

  • 29-00053MN· Issued by MEDICA PRIMARY
  • 1046326MN· Issued by PREFERRED ONE
  • 730T5GOMN· Issued by BCBS
  • 182562MN· Issued by UCARE
  • 29-00477MN· Issued by MEDICA CHOICE
  • 29-00053MN· Issued by MEDICA CHOICE

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.