One provider matched this enrollment ID.
Enrollment ID I20211117001231 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds a Medicare enrollment 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
- I20211117001231Physician AssistantTX
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
- 8QF481TX· Issued by BCBS - UNIVERSAL SURGICAL PARTNERS
- 8QC673TX· Issued by BCBS - XCITE SURGICAL
- 8QC855TX· Issued by BCBS - UNIVERSAL SURGICAL ASSISTANTS
- PA14707TX· Issued by TEXAS MEDICAL BOARD
- 8QA717TX· Issued by BCBS - BLUESTAR SURGICAL
- 8PX960TX· Issued by BCBS - UNIVERSAL SURGICAL MSO
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.