One provider matched this enrollment ID.
Enrollment ID I20220120002424 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds a Medicare enrollment 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
- I20220120002424Geriatric MedicineRI
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
- 010040566CT01· Issued by BLUE SHIELD OF CT
- 040566· Issued by CONNECTICARE
- 8166941· Issued by CIGNA
- CT040566· Issued by UNITED HEALTHCARE
- P2754775· Issued by OXFORD HEALTH PLAN
- 2V2434· Issued by HEALTHNET
- 3341768· Issued by AETNA
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.