One provider matched this enrollment ID.
Enrollment ID I20171002000345 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 7 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
- I20170412000652Internal MedicineND
- I20170424001248Internal MedicineGA
- I20170510000477Internal MedicineTX
- I20171002000345Emergency MedicineNY
- I20200217001301Emergency MedicineNM
- I20241011002673Emergency MedicineVT
- I20241220003394Emergency MedicineAZ
Source: CMS PECOS public enrollment file.
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.