One provider matched this enrollment ID.
Enrollment ID I20110202000221 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
- I20100219000044Diagnostic RadiologyNY
- I20110202000221Diagnostic RadiologyCA
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
- 00040941407NY· Issued by UNIVERA/EXCELLUS #
- 5609957NY· Issued by INDEPENDENT HEALTH #
- CR-DRA206349-3WNY· Issued by WORKERS COMPENSATION #
- 300137047NY· Issued by RAIL ROAD MEDICARE
- 000525006020NY· Issued by BLUE CROSS WNY #
- 150590FFNY· Issued by PREFERRED CARE-ROCHESTER
Medicaid
- 01748190NY
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.