One provider matched this enrollment ID.
Enrollment ID I20111214001034 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
- I20111214001034GastroenterologyKY
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
- 18K7KY· Issued by BLUE CROSS NUMBER
- 01046686AIN· Issued by MEDICAL LICENSE
- 0496484KY· Issued by CIGNA NUMBER
- 165678· Issued by AMERICAN BD OF INT MED CE
- 5720595KY· Issued by AETNA NUMBER
- KY33558KY· Issued by MEDICAL LICENSE
- 1120019KY· Issued by PASSPORT ID NUMBER
- 7255D· Issued by ECFMG
Medicaid
- 64553381KY
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.