One provider matched this enrollment ID.
Enrollment ID I20100902000429 resolves to a single NPI record. Open the full profile for complete detail.
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
- I20100902000429Physical Medicine and RehabilitationTX
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
- 4113420TX· Issued by BLUE LINK #
- 8050734002TX· Issued by CIGNA PAL ID #
- 89Y320TX· Issued by HMO BLUE #
- 250007058TX· Issued by MEDICARE RAILROAD
- 035953101TX· Issued by TPI NUMBER
- 5672381TX· Issued by AETNA NUMBER
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.