One provider matched this enrollment ID.
Enrollment ID I20120719000441 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 12 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
- I20111115000325Internal MedicineSC
- I20120719000441Internal MedicineAL
- I20131114001460Internal MedicineHI
- I20140808002122Internal MedicineGA
- I20180628003087Internal MedicineMS
- I20190416003251HospitalistIL
- I20220419001339HospitalistWI
- I20230221001096Internal MedicineOH
- I20230609001195Internal MedicineTN
- I20231128000934HospitalistMT
- I20250106000030Internal MedicineMA
- I20250722003083Internal MedicineNH
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.
Medicaid
- 340027SC
Other
- SCB3979068SC· Issued by MEDICARE PIN
- SCB3975019SC· Issued by MEDICARE PIN
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.