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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20200212001990 resolves to a single NPI record. Open the full profile for complete detail.

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JJ
NPI · 1710305115 · Active
Jubin Jacob MD
Diagnostic Radiology · Potsdam, New York
Active
NPI
1710305115
Enrollment ID
I20200212001990
Taxonomy
2085R0202X
Type
Practitioner - Diagnostic Radiology

Medicare enrollment

This provider holds 4 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.

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.