FindMyNPI
Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20100528000000 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.
DB
NPI · 1629006903 · Active
Dan Bautista M.D.
Family Medicine · Fairborn, Ohio
Active
NPI
1629006903
Enrollment ID
I20100528000000
Taxonomy
207Q00000X
Type
Practitioner - Family 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

  • 300107OH· Issued by AMERIGROUP PIN
  • D7368201OH· Issued by HUMANA
  • 310809436DABOH· Issued by SUMMIT PIN
  • 32004929300OH· Issued by BWC PIN
  • 5405631OH· Issued by AETNA
  • 2897281OH· Issued by CIGNA
  • 320049293027OH· Issued by CARESOURCE
  • 000000259761OH· Issued by BLUE CROSS BLUE SHIELD
  • 0109918OH· Issued by UNITED HEALTHCARE
  • P12036623OH· Issued by MULTIPLAN

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.