FindMyNPI
Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20071031000129 resolves to a single NPI record. Open the full profile for complete detail.

Single match found
When an enrollment ID maps to more than one NPI, this page shows a chooser to pick the right provider instead.
SC
NPI · 1598892085 · Active
Susan Clark MD
Psychiatry · Mukilteo, Washington
Active
NPI
1598892085
Enrollment ID
I20071031000129
Taxonomy
2084P0800X
Type
Practitioner - Psychiatry

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

  • 91202381600· Issued by UNIFORM
  • 148493100000· Issued by PREMERA
  • 9120238161816CL· Issued by REGENCE
  • 822269436WA· Issued by UNITED BEHAVIORAL HEALTH
  • 177558WA· Issued by VALUEOPTIONS
  • 381601· Issued by PACIFICARE
  • 389227520070221WA· Issued by COMMUNITY 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.