One provider matched this enrollment ID.
Enrollment ID I20210203003141 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 9 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
- I20090619000349Interventional RadiologyNY
- I20180501002291Interventional RadiologyDC
- I20191003000018Interventional RadiologyNJ
- I20210202003212General PracticeOH
- I20210203003141General PracticeMD
- I20210209002208General PracticeCT
- I20210510001881Interventional RadiologyCA
- I20210608002495Interventional RadiologyFL
- I20211213000215General PracticeVA
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
- P00047810· Issued by RAILROAD MEDICARE
- 00026468802· Issued by UNIVERA
- 255800· Issued by NY LICENSE
- 00026468801· Issued by UNIVERA
- 000527365001· Issued by BLUE SHIELD OF WESTERN NY
- C171331CA· Issued by LICENSE
- 1611705· Issued by INDEPENDANT HEALTH
Medicaid
- 02428866NY
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.