One provider matched this enrollment ID.
Enrollment ID I20230502000558 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
- I20120620000013Interventional RadiologyVA
- I20120621000667Interventional RadiologyDC
- I20200909000450Diagnostic RadiologyMD
- I20211122002331Diagnostic RadiologyMT
- I20230203002187Diagnostic RadiologyPA
- I20230502000558Diagnostic RadiologyCO
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
- 0123VA· Issued by CAREFIRST BCBS
- 60 241311NY· Issued by NY STATE MEDICAL LICENSE NUMBER
- 0101251267VA· Issued by MEDICAL LICENSE
- 8442961VA· Issued by AETNA HMO
- 9188852VA· Issued by AETNA PPO
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.