One provider matched this enrollment ID.
Enrollment ID I20100823001039 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
- I20100823001039Family PracticeTX
- I20150929002020Family PracticeLA
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
- 75-0818167-022TX· Issued by TRICARE
- P01608452TX· Issued by RAIL ROAD MEDICARE
- 8FR384TX· Issued by BCBS
- 752616977001TX· Issued by TRICARE
- 752616977002TX· Issued by TRICARE
- 752616977028TX· Issued by TRICARE
- P01609937TX· Issued by RAIL ROAD MEDICARE
- 8FR383TX· Issued by BCBS
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.