One provider matched this enrollment ID.
Enrollment ID I20211124001069 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
- I20160608000287HospitalistTX
- I20211124001069HospitalistCA
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
- 358313004TX· Issued by MEDICAID ARC ROT
- 358313001TX· Issued by MEDICAID SAIMS ROT
- 358313003TX· Issued by MEDICAID ARC TRAVIS
- 358313002TX· Issued by MEDICAID SAIMS TRAVIS
- 503332YKXYTX· Issued by MEDICARE ARC ROT
- 503332YKXVTX· Issued by MEDICARE ARC TRAVIS
- 503332YLP1TX· Issued by MEDICARE SAIMS TRAVIS
- 503332YLP2TX· Issued by MEDICARE SAIMS ROT
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.