One provider matched this enrollment ID.
Enrollment ID I20100702000339 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 22 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
- I20090612000112Diagnostic RadiologyAZ
- I20100702000339Diagnostic RadiologyKS
- I20170824001487Diagnostic RadiologyMO
- I20190123001359Diagnostic RadiologyCA
- I20200206001840Diagnostic RadiologyHI
- I20210316002097Diagnostic RadiologyLA
- I20210830002937Diagnostic RadiologyKY
- I20230202003044Diagnostic RadiologyNV
- I20230322001847Diagnostic RadiologyAR
- I20230322002907Diagnostic RadiologyIN
- I20230530002520Diagnostic RadiologyOR
- I20240122000036Diagnostic RadiologyNJ
- I20240712002405Diagnostic RadiologyFL
- I20240912001270Diagnostic RadiologyTX
- I20241230003093Diagnostic RadiologyCO
- I20250408003796Diagnostic RadiologyMT
- I20250409001205Diagnostic RadiologyMS
- I20250410002464Diagnostic RadiologyAL
- I20250716001921Diagnostic RadiologyUT
- I20251205000809Diagnostic RadiologyOH
- I20251217004650Diagnostic RadiologyGA
- I20260224001850Diagnostic RadiologyMI
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
- P00812940AZ· Issued by RAILROAD MEDICARE
Medicaid
- 431219AZ
- 200656640BKS
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.