One provider matched this enrollment ID.
Enrollment ID I20220124002802 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
- I20110119000379Internal MedicineNC
- I20150105000473Infectious DiseaseSC
- I20201218000336Internal MedicineNY
- I20220124002802Internal MedicineVA
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
- 1443711CT· Issued by PHCS
- 726613CT· Issued by CONNECTICARE
- P432450CT· Issued by OXFORD HEALTH PLANS
- 010031358CT01CT· Issued by ANTHEM BCBS
- 1077638CT· Issued by UNITED HEALTHCARE
- 1543508NY· Issued by NYS MEDICAID
- 0213304CT· Issued by CIGNA HEALTHCARE
- 4349238CT· Issued by AETNA US HEALTHCARE
- 041766CT· Issued by HEALTH NET
Medicaid
- 1312587CT
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.