One provider matched this enrollment ID.
Enrollment ID I20161109001809 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 3 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
- I20040616001174Diagnostic RadiologyWA
- I20161109001809Diagnostic RadiologyID
- I20251124003317Diagnostic 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
- 2240474· Issued by AETNA
- 349506WA· Issued by L&I-RADIA KING COUNTY
- 349501WA· Issued by L&I-EVERGREEN RADIA
- 8919533WA· Issued by CRIME VICTIMS
- 109457WA· Issued by L&I
- 349498WA· Issued by L&I-RADIA REST OF WA
- 349505WA· Issued by L&I-SWEDISH RADIA
- 300065978· Issued by RAILROAD MEDICARE
- LO6733WA· Issued by REGENCE
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.