One provider matched this enrollment ID.
Enrollment ID I20101028001063 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
- I20050408000034Cardiovascular Disease (Cardiology)MO
- I20101028001063Cardiovascular Disease (Cardiology)IL
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
- 6327V8816· Issued by HCUSA
- E36005· Issued by MERCY
- 3156370· Issued by CIGNA
- 42693V30946· Issued by HLTHPART
- 000000013834· Issued by ESSENCE
- 060067901IL· Issued by ILRRMCR
- 060067902MO· Issued by MORRMCR
- 4334049· Issued by AETNA
- O21267· Issued by JFMOLLOY/FMH
- 20502MO· Issued by MOBS/BLCHOICE
- 431098908· Issued by TRICARE
- 123148· Issued by HLNK
- 2500128· Issued by UNC
- 1955V3831· Issued by GHP/CMR
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.