One provider matched this enrollment ID.
Enrollment ID I20120105000443 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 9 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
- I20041103000123NeurologyID
- I20120105000443NeurologyMO
- I20130809000315NeurologyIA
- I20151014001733NeurologyND
- I20160905000018NeurologyHI
- I20171219001691NeurologyWA
- I20240813001418NeurologyMT
- I20251118001043NeurologyNE
- I20260303001192NeurologyMI
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
- 000010148189ID· Issued by REGENCE BLUE SHIELD OF ID
- 000000756863· Issued by ANTHEM (REID PHYSICIAN ASSOCIATES, INC.)
- S5247ID· Issued by BLUE CROSS OF IDAHO
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.