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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20200211001231 resolves to a single NPI record. Open the full profile for complete detail.

Single match found
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JE
NPI · 1609891795 · Active
Jimmy Ellis D.O.
Obstetrics & Gynecology · Craig, Colorado
Active
NPI
1609891795
Enrollment ID
I20200211001231
Taxonomy
207V00000X
Type
Practitioner - Obstetrics/Gynecology

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

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

  • 8J3940TX· Issued by BCBS
  • 133125100· Issued by FIRSTCARE & SW LIFE&HEALT
  • 311819386790650000· Issued by TRICARE
  • 3277999· Issued by CIGNA
  • P00070099TX· Issued by RAILROAD MEDICARE
  • 7431448· Issued by AETNA

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.