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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20071210000258 resolves to a single NPI record. Open the full profile for complete detail.

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CY
NPI · 1538252077 · Active
Charles Young M.D.
Family Medicine · Rawlins, Wyoming
Active
NPI
1538252077
Enrollment ID
I20071210000258
Taxonomy
207Q00000X
Type
Practitioner - General Practice

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

  • 344550WY· Issued by COMBINED INSURANCE
  • 307083WY· Issued by BLUE CROSS BLUE SHIELD
  • 5353AWY· Issued by LICENSE
  • 850335622WY· Issued by TAX ID
  • 080086864WY· Issued by PALMETTO
  • 53D0909290WY· Issued by CLIA
  • 490301955WY· Issued by LAB CORP
  • 563365WY· Issued by WY WORKERS COMPENSATION

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.