One provider matched this enrollment ID.
Enrollment ID I20161102000145 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 6 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
- I20041027000790Cardiac SurgeryGA
- I20161102000145Thoracic SurgeryTX
- I20220419002901Thoracic SurgeryNV
- I20230523000856Cardiac SurgeryCA
- I20231201002128Cardiac SurgeryND
- I20240914000412Thoracic SurgeryMI
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
- C18008KY· Issued by CHI
- 000000626702KY· Issued by ANTHEM
- P00742520KY· Issued by RAILROAD MEDICARE
- 50024383KY· Issued by PASSPORT
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.