One provider matched this enrollment ID.
Enrollment ID I20201222000383 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
- I20051010000490Internal MedicineNJ
- I20201222000383Internal MedicineMA
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
- 475793· Issued by AETNA
- JP145· Issued by OXFORD
- 3K6219· Issued by HEALTHNET
- 9186538· Issued by CIGNA
- 13599· Issued by UNIVERSITY HEALTHPLAN
- 601792· Issued by UNITED HEALTHCARE
- CA0000064· Issued by AMERICHOICE
- 110099695· Issued by RR MEDICARE
- 0759066000· Issued by AMERIHEALTH, KEYSTONE, IBC
- 1011962· Issued by HORIZON NJ HEALTH
Medicaid
- 6309909NJ
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.