One provider matched this enrollment ID.
Enrollment ID I20120105000053 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
- I20120105000053Radiation OncologyIL
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
- 01633381IL· Issued by BCBSIL ADVANCED RAD
- 1548251986· Issued by ADV RAD NPI #
- 04932214IL· Issued by BCBSIL ROTATING GAMMA
- 1902897358· Issued by ROT GMA NPI#
- 920007667IL· Issued by RR MEDICARE ADVANCED RAD
- P00042095IL· Issued by RR MEDICARE ROT GMA
- CK9135IL· Issued by RR MEDICARE ADV RAD GR#
- DA2626IL· Issued by RR MEDICARE ROT GMA GR#
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.