One provider matched this enrollment ID.
Enrollment ID I20120302000353 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
- I20040525000564HospitalistCO
- I20120302000353Internal MedicineWY
- I20230606003125Internal MedicineMN
- I20240627004077Internal MedicineMP
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
- 348308CO· Issued by MEDICARE GROUP NUMBER
- 74305263CO· Issued by MEDICAID GROUP NUMBER
- C810776CO· Issued by MEDICARE GROUP NUMBER
- DN2433CO· Issued by RR MEDICARE GROUP
Medicaid
- 42725232CO
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.