One provider matched this enrollment ID.
Enrollment ID I20090610000002 resolves to a single NPI record. Open the full profile for complete detail.
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
- I20090610000002Physical Medicine and RehabilitationWA
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
- 206033WA· Issued by LABOR AND INDUSTRIES
- 805441900WA· Issued by IDAHO MEDICAID
- MD6103WA· Issued by ALASKA MEDICAID
- US0862704WA· Issued by AETNA/USHC SPECIALIST
- 990005755· Issued by RAILROAD MEDICARE
- 0039622WA· Issued by LABOR & INDUSTRY
- FR5117WA· Issued by BLUE SHIELD
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.