One provider matched this enrollment ID.
Enrollment ID I20170120002153 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.
Practitioner
- I20170120002153Pediatric MedicineMA
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
- 04-3194547MA· Issued by GREAT-WEST
- 04-3194547MA· Issued by UNICARE/GIC
- 04-3194547MA· Issued by UNITED HEALTHCARE
- 204149MA· Issued by HARVARD PILGRIM
- 204157-1275MA· Issued by CONNECTICARE
- 04-3194547MA· Issued by NORTHEAST HEALTHCARE ALLI
- 204157MA· Issued by TUFTS
- 000000026287MA· Issued by BMC
- 04-3194547MA· Issued by CONSOLIDATED
- 04-3194547MA· Issued by PLAN VISTA
- J23157MA· Issued by BCBS MA
- 04-3194547MA· Issued by NORTHEAST HEALTH DIRECT
- 8429298010MA· Issued by CIGNA
- 04-3194547MA· Issued by NORTH AMERICAN PREFERRED
- 04-3194547MA· Issued by PHCS
- 2520169MA· Issued by AETNA
- 27489MA· Issued by HEALTH NEW ENGLAND
Medicaid
- 0124851MA
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.