One provider matched this enrollment ID.
Enrollment ID I20100805000709 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
- I20100805000709Obstetrics/GynecologyKY
- I20251110000345Obstetrics/GynecologyCA
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
- 0700075KY· Issued by UNITED HEALTHCARE
- 160030392KY· Issued by RAILROAD
- P01140462KY· Issued by MEDICARE RR - WS
- 1058728KY· Issued by PASSPORT
- 11ED3000000044475KY· Issued by BLUE CROSS/BLUE SHIELD
- 6016739300KY· Issued by HUMANA
- 50036614KY· Issued by PASSPORT - WS
Medicaid
- 64313810KY
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.