One provider matched this enrollment ID.
Enrollment ID I20191119001908 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 6 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
- I20051107001145Interventional CardiologyAR
- I20191119001908Cardiovascular Disease (Cardiology)WI
- I20210831003717Interventional CardiologyTX
- I20220811003317Interventional CardiologyOK
- I20241205003626Interventional CardiologyCA
- I20250212002656Cardiovascular Disease (Cardiology)HI
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
- 974066-01MD· Issued by CAREFIRST BC/BS
- 1T5834TX· Issued by PTAN
- S062-0422MD· Issued by CAREFIRST BC/BS REGIONAL
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.