One provider matched this enrollment ID.
Enrollment ID I20220107001465 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
- I20040515000169General SurgeryMD
- I20220107001465General SurgeryDC
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.
Medicaid
Other
- 52326303MD· Issued by BLUE SHIELD
- 0990290MD· Issued by UNITED HLTHCARE NATIONAL
- 19115MD· Issued by FREESTATE
- 0005MD· Issued by CAREFIRST REGIONAL
- 1700540MD· Issued by UNITED HLTHCARE
- 217047MD· Issued by MDIPA
- 214341MD· Issued by KAISER
- 112716MD· Issued by US HLTHCARE
- 65509MD· Issued by GEISINGER
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.