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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20100920000567 resolves to a single NPI record. Open the full profile for complete detail.

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JK
NPI · 1083614531 · Active
James Kallal M.D.
Cardiovascular Disease · Hartford, Connecticut
Active
NPI
1083614531
Enrollment ID
I20100920000567
Taxonomy
207RC0000X
Type
Practitioner - Cardiovascular Disease (cardiology)

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

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.

Medicaid

Other

  • OS2283CT· Issued by HEALTHNET ID#
  • P1236548CT· Issued by OXFORD HEALTH ID#
  • 010019484CT01CT· Issued by ANTHEM BCBS ID#
  • 13459CT· Issued by HEALTH NEW ENGLAND ID#
  • 2266768003CT· Issued by CIGNA ID#
  • 2043107CT· Issued by AETNA ID#
  • 0521150446CT· Issued by CONNECTICARE ID#
  • P12038342CT· Issued by MULTIPLAN ID#

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.