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Medicare enrollment lookup

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Enrollment ID I20120915000000 resolves to a single NPI record. Open the full profile for complete detail.

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JJ
NPI · 1205928124 · Active
Jose Jessurun-Solomou MD
Anatomic & Clinical Pathology · New York, New York
Active
NPI
1205928124
Enrollment ID
I20120915000000
Taxonomy
207ZP0102X
Type
Practitioner - Pathology

Medicare enrollment

This provider holds a Medicare enrollment 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

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

  • 082727MN· Issued by FAIRIVEW
  • 101360MN· Issued by U CARE
  • 768180· Issued by ARAZ
  • HP22292MN· Issued by HEALTH PARTNERS
  • 11-00014MN· Issued by MEDICA-PRIMARY
  • 4T513JEMN· Issued by BLUE CROSS BLUE SHIELD
  • 1010329MN· Issued by PREFERRED ONE
  • 1124548MN· Issued by MEDICA-CHOICE

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.