One provider matched this enrollment ID.
Enrollment ID I20220119003202 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
- I20100721000235Internal MedicineTX
- I20210317002698Internal MedicineMO
- I20210831001029Internal MedicineIL
- I20220119003202Internal MedicineWA
- I20220407001109Internal MedicineIA
- I20220606000963Internal MedicineTN
- I20220623003350Internal MedicineAZ
- I20220912002670Internal MedicineGA
- I20221031003119Internal MedicineWI
- I20230113002593Internal MedicineOK
- I20230125002224Internal MedicineMI
- I20230519002172Internal MedicineCO
- I20241008000131Internal MedicineMN
- I20250404002497HospitalistND
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
- 1518167188· Issued by INDIVIDUAL NPI
- P02596722TX· Issued by RR MEDICARE
- 1K6560TX· Issued by MEDICARE
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.