One provider matched this enrollment ID.
Enrollment ID I20101015000652 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
- I20050323001412NeurosurgeryAR
- I20101015000652NeurosurgeryMO
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
- 2083264004MO· Issued by CIGNA HEALTHCARE
- 5M326AR· Issued by ARKANSAS BC/BS
- 02100025000MO· Issued by QUAL CHOICE
- 0215053WA· Issued by DEPARTMENT OF LABOR WA
- 18942MO· Issued by COX HEALTH PLANS
- 4188130001MO· Issued by CIGNA MEDICARE
- 5M326AR· Issued by ARKANSAS FIRST SOURCE
- C68084MO· Issued by USPS (W/C)
- 0640002MO· Issued by UNITED HEALTHCARE
- 8458MO· Issued by BLUE CROSS/CHOICE
- 188829MO· Issued by HEALTHLINK
- 5M326AR· Issued by HEALTH ADVANTAGE
- 1294MO· Issued by COX HEALTH PLANS UPI
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.