One provider matched this enrollment ID.
Enrollment ID I20180925002370 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 2 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
- I20090213000292PsychiatryIN
- I20180925002370PsychiatryMI
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.
Medicaid
Other
- 1102537324IN· Issued by ANTHEM
- 169380070IN· Issued by MEDICARE PTAN
- 000000645559IN· Issued by ANTHEM OUT PATIENT SLEEP CLINIC
- 4301113580MI· Issued by LICENSE
- 261970071IN· Issued by MEDICARE PTAN
- 236040052IN· Issued by MEDICARE PTAN
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.