One provider matched this enrollment ID.
Enrollment ID I20220125001644 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 6 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
- I20100715000397GastroenterologyCO
- I20211008002280GastroenterologyTN
- I20220125001644GastroenterologyMT
- I20230420002317GastroenterologyIN
- I20240404002022GastroenterologyMN
- I20250819002039GastroenterologyMI
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
- 100010929CO· Issued by RAILROAD MEDICARE
- 029477CO· Issued by KAISER COMMERCIAL NUMBER
Medicaid
- 01307743CO
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.