One provider matched this enrollment ID.
Enrollment ID I20101202000702 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
- I20101202000702Family PracticeNY
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
- 02272475NY
Other
- 070125000008NY· Issued by FIDELIS
- 089441NY· Issued by MVP
- 000499866001NY· Issued by BSNENY
- 200090NY· Issued by SENIOR WHOLE HEALTH
- 7881625NY· Issued by AETNA
- 10060798NY· Issued by CDPHP
- 5038A1NY· Issued by EMPIRE BC
- 57700NY· Issued by GHI/HMO
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.