One provider matched this enrollment ID.
Enrollment ID I20141003000700 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 13 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
- I20090224000740Emergency MedicineVA
- I20141003000700General PracticeCA
- I20211209002266General PracticeMI
- I20211210001779General PracticeIN
- I20211210002041Orthopedic SurgeryIL
- I20220425001062Family PracticeMO
- I20230327000916General PracticeTX
- I20231018004107General PracticeAK
- I20231216000401General PracticeNJ
- I20240226004045General PracticePA
- I20240725001026General PracticeWI
- I20241112003885General PracticeNV
- I20241216003087Orthopedic SurgeryGA
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
- 2015017078MO· Issued by MISSOURI DIVISION OF PROFESSIONAL REGISTRATION
- T9647TX· Issued by TEXAS STATE MEDICAL BOARD
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.