One provider matched this enrollment ID.
Enrollment ID I20220128000396 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 5 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
- I20041228000878Family PracticeOH
- I20190819002099Emergency MedicineWI
- I20220128000396Emergency MedicineWV
- I20221006001793Family PracticeKY
- I20260131000559Emergency MedicineSC
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
- 101308100-0001OH· Issued by PENNSYLVANIA MEDICAID
- 000000038430OH· Issued by ANTHEM
- 000000349348OH· Issued by ANTHEM
- 101308100-0002OH· Issued by PENNSYLVANIA MEDICAID
Medicaid
- 2223338OH
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.