One provider matched this enrollment ID.
Enrollment ID I20221027001071 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 24 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
- I20221017002159Geriatric MedicineMO
- I20221027001071Geriatric MedicineIL
- I20230512000474Geriatric MedicineKS
- I20230517003383Geriatric MedicineOH
- I20230526001109Geriatric MedicineKY
- I20230605000621Geriatric MedicineTN
- I20230719003398Geriatric MedicineAZ
- I20230911002890Geriatric MedicineAR
- I20230911003436Geriatric MedicineTX
- I20240312003799Geriatric MedicineCO
- I20240409004182Geriatric MedicinePA
- I20240411000411Geriatric MedicineIN
- I20240411002990Geriatric MedicineOK
- I20240430000470Geriatric MedicineFL
- I20240620003377Geriatric MedicineCA
- I20240628002832Geriatric MedicineIA
- I20240809001085Geriatric MedicineNE
- I20240813000399Geriatric MedicineMI
- I20240919002626Geriatric MedicineWA
- I20241008004249Geriatric MedicineVA
- I20241017003455Geriatric MedicineGA
- I20241101002431Geriatric MedicineSC
- I20241204004191Geriatric MedicineNC
- I20250925003914Geriatric MedicineWV
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.
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.