One provider matched this enrollment ID.
Enrollment ID I20170518001036 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 9 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
- I20170518001036Infectious DiseasePR
- I20190926000825Infectious DiseaseNY
- I20221008000304Internal MedicineWI
- I20221013003381Internal MedicineWA
- I20221215000052Infectious DiseaseNH
- I20230808000268Infectious DiseaseMN
- I20230821001788Infectious DiseaseLA
- I20241104000770Infectious DiseaseMI
- I20251027002887Infectious DiseaseKS
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
- 19282PR· Issued by 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.