One provider matched this enrollment ID.
Enrollment ID I20130814001029 resolves to a single NPI record. Open the full profile for complete detail.
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
- I20130814001029Obstetrics/GynecologyID
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
- M3119ID· Issued by IDAHO STATE LICENSE
- 01602650631ID· Issued by AMA MEMBERSHIP
- 13D0521509ID· Issued by CLIA LAB ID NUMBER
- MD1637ID· Issued by IDAHO CONTROLLED SUBSTANC
- 000010000709ID· Issued by REGENCE BLUE SHIELD OF ID
- 140277OR· Issued by OMAP OREGON MEDICAID
- 50120ID· Issued by BLUE CROSS OF IDAHO
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.