One provider matched this enrollment ID.
Enrollment ID I20220104000795 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 21 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
- I20171110001257Internal MedicineWA
- I20200630001717Internal MedicineID
- I20211231000019Internal MedicineIN
- I20211231000020Internal MedicineMI
- I20211231000024Internal MedicineMO
- I20220103000023Internal MedicineAZ
- I20220104000795Internal MedicineMT
- I20220104001014Internal MedicineIL
- I20220104001637Internal MedicineTN
- I20220210002064Internal MedicineNC
- I20220413001579Internal MedicineTX
- I20220425001546Internal MedicineHI
- I20220616000668Family PracticeWI
- I20221209001183Internal MedicineOR
- I20230523002729Internal MedicineWV
- I20230831004075Internal MedicineGA
- I20230921001270Internal MedicineKY
- I20230925000413Internal MedicineMS
- I20240306000494Family PracticeOK
- I20240912002779Internal MedicineLA
- I20250924004801Internal MedicineFL
Source: CMS PECOS public enrollment file.
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.