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One provider matched this enrollment ID.

Enrollment ID I20220119002597 resolves to a single NPI record. Open the full profile for complete detail.

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JF
NPI · 1386835585 · Active
Justin Fowler MD
Surgical Critical Care Physician · Boise, Idaho
Active
NPI
1386835585
Enrollment ID
I20220119002597
Taxonomy
2086S0102X
Type
Practitioner - Orthopedic Surgery

Medicare enrollment

This provider holds 7 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

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

  • 2016027259MO· Issued by MO LICENSE
  • 1L5640TX· Issued by MEDICARE
  • P02601779TX· Issued by MCRR

Medicaid

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.