One provider matched this enrollment ID.
Enrollment ID I20180802000495 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 10 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
- I20160601002805Emergency MedicineIN
- I20160914000783Emergency MedicineGA
- I20171101000560Emergency MedicineIL
- I20180802000495Emergency MedicineFL
- I20190413000112Emergency MedicineSC
- I20191211000308Emergency MedicineDC
- I20201117000659Emergency MedicineTX
- I20220606002928Emergency MedicineVA
- I20240624004614Emergency MedicineMD
- I20260206000546Emergency MedicineNC
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
- 125-062547IL· Issued by STATE LICENSE INFORMATION
- 4301101551MI· Issued by EDUCATIONAL LIMITED LICENSE
- 5315056601MI· Issued by CONTROLLED SUBSTANCE 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.