One provider matched this enrollment ID.
Enrollment ID I20220128001133 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 2 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
- I20090813000501Obstetrics/GynecologyVA
- I20220128001133Obstetrics/GynecologyGA
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
- 45748VA· Issued by OPTIMA SENTARA ID#
- 160043283QVA· Issued by RAILROAD MEDICARE ID#
- 541467765VA· Issued by TAX ID#
- 20507VA· Issued by VIRGINIA PREMIER ID #
- 952279VA· Issued by AETNA ID#
- 90992GA· Issued by STATE LICENSE
- 5414523VA· Issued by AETNA
- 271664VA· Issued by ANTHEM BC/BS ID#
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.