One provider matched this enrollment ID.
Enrollment ID I20060802000502 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
- I20040129000766Emergency MedicineLA
- I20060802000502Emergency MedicineGA
- I20110624000476Emergency MedicineMD
- I20220712000208Critical Care (Intensivists)OK
- I20240301000385Internal MedicineTX
- I20251013003009Emergency MedicineHI
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
- 0137MD· Issued by BLUE CROSS
- 0137GA· Issued by BLUE CROSS
- P00334342GA· Issued by RAILRAOD MEDICARE
- 361896GA· Issued by WELLCARE
- MD-25719HI· Issued by STATE LICENSE
- 52173131GA· Issued by BCBS
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.