One provider matched this enrollment ID.
Enrollment ID I20100611000802 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 2 Medicare enrollments 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
- I20100611000802GastroenterologyMI
- I20201208001445GastroenterologyOH
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
- C4919MI· Issued by MCARE
- 125206MI· Issued by MERCY CARE CHOICES
- 4301069020MI· Issued by PHYSICIAN LICENSE
- 0814274MI· Issued by CIGNA
- 700H21076MI· Issued by BCBSM
- 1460589MI· Issued by UHC
- 5829574MI· Issued by AETNA
- CC3713MI· Issued by RR MEDICARE
Medicaid
- 3312745MI
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.