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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20091006000583 resolves to a single NPI record. Open the full profile for complete detail.

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LI
NPI · 1235177932 · Active
Lisa Illig MD
Hospice and Palliative Medicine (Internal Medicine) Physician · St Louis Park, Minnesota
Active
NPI
1235177932
Enrollment ID
I20091006000583
Taxonomy
207RH0002X
Type
Practitioner - Hospice/Palliative Care

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

  • 209808VA· Issued by SOUTHERN HEALTH
  • P00074226VA· Issued by MEDICARE PIN
  • 2959204001VA· Issued by CIGNA
  • 64758VA· Issued by COMMUNITY HEALTH
  • 278633VA· Issued by ANTHEM SVCS/HEALTHKEEPERS

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.