One provider matched this enrollment ID.
Enrollment ID I20200728003809 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
- I20041124000672Emergency MedicineRI
- I20200728003809Emergency MedicineMI
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
- 1407870330RI· Issued by NPI
- 06222010MA· Issued by TUFTS HEALTH PLAN
- 07082010RI· Issued by NHPRI
- 12142010RI· Issued by TRICARE
- 939025129RI· Issued by RI MEDICARE GROUP NUMBER
- 06292010RI· Issued by BCBSRI
Medicaid
- 7056948RI
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.