One provider matched this enrollment ID.
Enrollment ID I20191111001046 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 8 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
- I20040122001015Interventional RadiologyPA
- I20040419000262Interventional RadiologyVA
- I20050523000388Diagnostic RadiologyGA
- I20180723003267Diagnostic RadiologyNC
- I20180724000736Interventional RadiologyDC
- I20190308001311Diagnostic RadiologySC
- I20191111001046Diagnostic RadiologyOH
- I20200513002223Interventional RadiologyMD
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
- 204878958VA· Issued by GREAT-WEST HEALTHCARE
- 490858VA· Issued by SOUTHERN HEALTH
- 204878958VA· Issued by VA HEALTH NETWORK
- 68424VA· Issued by CARENET
- 249657VA· Issued by ANTHEM BCBS
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.