One provider matched this enrollment ID.
Enrollment ID I20110602000375 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 4 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
- I20110602000375Obstetrics/GynecologyAZ
- I20170201000523Family PracticeCA
- I20190624002286Obstetrics/GynecologyTX
- I20250122002892Obstetrics/GynecologyMD
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
- H08LH44101TX· Issued by BCBS-TX
- 32169AZ· Issued by ARIZONA MEDICAL BOARD LICENSE
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.