One provider matched this enrollment ID.
Enrollment ID I20101102000698 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 3 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
- I20101102000698General SurgeryLA
- I20240418002736General SurgerySC
- I20250801002445Critical Care (Intensivists)AZ
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
- 1486795LA
Other
- 900070463GRLA· Issued by OSCHNER
- P00012293LA· Issued by RAILROAD MEDICARE PIN#
- 1700784LA· Issued by UNITED HEALTHCARE
- 195344LA· Issued by COVENTRY
- 7194459LA· Issued by AETNA
- DA0978LA· Issued by RAILROAD MEDICARE
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.