One provider matched this enrollment ID.
Enrollment ID I20161103000977 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.
Order and Referring Only
- I20161103000977Oral SurgeryWI
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.
Medicaid
- 0080200IA
Other
- 08362IA· Issued by BLUE DENTAL-BCBSIA
- 001774025IA· Issued by UNITED CONCORDIA
- 421060724IA· Issued by BILLING TAX ID# FOR CHC
- 08362IA· Issued by DELTA DENTAL OF IA
- 1418752IA· Issued by IA CONTROLLED SUBSTANCE
- 6075-015WI· Issued by WI STATE LICENSE #
- 08362IA· Issued by IOWA STATE LICENSE #
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.