One provider matched this enrollment ID.
Enrollment ID I20110405001069 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
- I20110405001069OphthalmologyMA
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
- 562689MA· Issued by CIGNA PROVIDER NUMBER
- 183229MA· Issued by US HEALTHCARE PROVIDER #
- B11627MA· Issued by BC/BS PROVIDER NUMBER
- 041103MA· Issued by TUFTS PROVIDER NUMBER
- 15608MA· Issued by HPHC PROVIDER NUMBER
- 4524216MA· Issued by AETNA PROVIDER #
Medicaid
- 2069733MA
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.