One provider matched this enrollment ID.
Enrollment ID I20111228000102 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
- I20100609000656OphthalmologyNC
- I20111228000102OphthalmologySC
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
- 11512NC· Issued by BCBS
- 2257439· Issued by MC SOUTH CAROLINA
- 561705541· Issued by CMS 1500
- 561705541· Issued by HEALTHSOURCE SC INC
- 561705541· Issued by AETNA
- 11512· Issued by BLUE CROSS BLUE SHIELD
- 0841483· Issued by UNITED HEALTH CARE
- 2075830· Issued by FIRST HEALTH
- 2109354· Issued by MAMSI INSURANCE
- 11512SC· Issued by BCBS
- 561705541NC· Issued by WORKMANS COMP
- 561705541SC· Issued by WORKMANS COMP
Medicaid
- 8911512NC
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.