One provider matched this enrollment ID.
Enrollment ID I20211117001821 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 4 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
- I20040305000120Family PracticeNY
- I20211117001821Family PracticeMI
- I20211118002177Family PracticeIL
- I20211216002605Family PracticeOH
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
- 0105391NY· Issued by INDEPENDENT HEALTH
- 743105555NY· Issued by FIDELIS
- 000508489002NY· Issued by BLUE CROSS & BLUE SHIELD
- 3493064NY· Issued by CIGNA
- 00010182102NY· Issued by UNIVERA
Medicaid
- 00710949NY
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.