One provider matched this enrollment ID.
Enrollment ID I20210429001049 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 16 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
- I20070412000589Family PracticeSC
- I20210429001049Family PracticeCA
- I20220201001402Family PracticeWA
- I20221027002685Family PracticeFL
- I20230709000109Family PracticeRI
- I20230712001319Family PracticeAL
- I20230719003589Family PracticeMS
- I20230726003514Family PracticeWV
- I20230728001731Family PracticeIN
- I20230802003759Family PracticeID
- I20230810001446Family PracticeOH
- I20230919004412Family PracticeNC
- I20231024001554Family PracticeNY
- I20240625000027Family PracticeAR
- I20240722000398Family PracticeTN
- I20250226001079Internal MedicineCT
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
- 20-28985SC· Issued by SC CONTROLLED SUB LIC #
- 034SC· Issued by TRICARE
- 063SC· Issued by BCBS
- 20078187SC· Issued by SELECT HEALTH
- 000000245946SC· Issued by UNISON
- 062SC· Issued by BCBS
- 063SC· Issued by BLUECHOICE
- 1833944SC· Issued by CIGNA
- 211987SC· Issued by MEDCOST
- AA17288552SC· Issued by MEDICARE PTAN
- 032SC· Issued by TRICARE
- 061SC· Issued by BLUECHOICE
- MD 28985SC· Issued by SC MEDICAL LICENSE
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.