One provider matched this enrollment ID.
Enrollment ID I20220105002595 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 14 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
- I20050214000445Internal MedicineMI
- I20100329000157Internal MedicineGA
- I20160318000840Internal MedicineMA
- I20220105002595HospitalistME
- I20230223001946Internal MedicineIN
- I20230330000905Internal MedicineIL
- I20230405001278Internal MedicineWV
- I20230425000647Internal MedicineTN
- I20230823002603Internal MedicineVT
- I20230828002397Internal MedicineWI
- I20231024002951Internal MedicineAL
- I20231025003234Internal MedicineOH
- I20240926004340Internal MedicineKY
- I20251202002020Internal MedicineNY
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
- P01133062SC· Issued by RAILROAD MEDICARE
- 20051871SC· Issued by SELECT HEALTH
- 189206SC· Issued by MEDCOST
- 7068293SC· Issued by AETNA
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.