One provider matched this enrollment ID.
Enrollment ID I20120719000392 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 6 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
- I20100825000322Radiation OncologyAL
- I20120719000313Radiation OncologyTN
- I20120719000392Radiation OncologyMS
- I20180619001367Radiation OncologySC
- I20190617001934Radiation OncologyLA
- I20230111002420Radiation OncologyWI
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
- P01073107TN· Issued by RR MEDICARE
- 920002053AL· Issued by RR MEDICARE
- P01134118MS· Issued by RR MEDICARE
- 4334897TN· Issued by BCBS TN
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.