One provider matched this enrollment ID.
Enrollment ID I20140129001034 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 14 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
- I20111107000830Other (Physician)NV
- I20130327000413Pediatric MedicineMD
- I20140129001034Pediatric MedicineDC
- I20140814000902Pediatric MedicineFL
- I20150319001973Emergency MedicineMO
- I20150928003006Pediatric MedicineTX
- I20171121003410Emergency MedicineOH
- I20181018002686Pediatric MedicineNY
- I20190626002396Pediatric MedicineNJ
- I20200805000504Pediatric MedicineMS
- I20230310000205Emergency MedicineTN
- I20240530000297Emergency MedicineAL
- I20240726003736Pediatric MedicineVA
- I20260122001919Emergency MedicineLA
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
- 25MA10561800NJ· Issued by NEW JERSEY STATE BOARD OF MEDICAL EXAMINER
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.