One provider matched this enrollment ID.
Enrollment ID I20140519002004 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 4 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
- I20140519002004Diagnostic RadiologyID
- I20141208000528Diagnostic RadiologyWA
- I20241018003446Diagnostic RadiologyCA
- I20250609000618Diagnostic RadiologyMI
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
- 0377896WA· Issued by LNI-RADIA-KING COUNTY
- 0377897WA· Issued by LNI-SWEDISH RADIA EDMONDS
- 0235937WA· Issued by LNI-EVERGREEN RADIA
- 0235952WA· Issued by LNI-RADIA-REST OF WA
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.