One provider matched this enrollment ID.
Enrollment ID I20120824000413 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 8 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
- I20120824000413Internal MedicineIL
- I20210928000544Internal MedicineIN
- I20221006000375Internal MedicinePA
- I20230822003179Osteopathic Manipulative MedicineOH
- I20240904000740Internal MedicineTN
- I20241206003015Internal MedicineKY
- I20250221000327Internal MedicineMO
- I20251228000103Internal MedicineAZ
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
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.