One provider matched this enrollment ID.
Enrollment ID I20101202000720 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 5 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
- I20101202000720Cardiac SurgeryWY
- I20240417001414Thoracic SurgeryMD
- I20251112001526Thoracic SurgeryWI
- I20260116003693Vascular SurgeryPA
- I20260121002484Cardiac SurgeryTX
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
- 114320400WY· Issued by WYOMING MEDICAID
- 780001530WY· Issued by RAILROAD MEDICARE
- 308054WY· Issued by BLUE SHIELD
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.