One provider matched this enrollment ID.
Enrollment ID I20220119001339 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
- I20060116000043General SurgerySD
- I20200925002260General SurgeryND
- I20220119001339General SurgeryWI
- I20231205001309General SurgeryGA
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
- 4993SD· Issued by DAKOTACARE
- 4997175SD· Issued by BLUE CROSS
- 22795SD· Issued by SIOUX VALLEY HEALTH PLAN
- 6459SD· Issued by AVERA HEALTH PLANS
Medicaid
- 7301830SD
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.