One provider matched this enrollment ID.
Enrollment ID I20231002000487 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 12 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
- I20040825000111Family PracticeOH
- I20230124002791Family PracticeMI
- I20230201000615Family PracticeIL
- I20230419002451Family PracticeAL
- I20230421001950Family PracticeWI
- I20230422000075Family PracticeLA
- I20230606000592Family PracticeTX
- I20230911003735Family PracticeFL
- I20231002000487Family PracticeNY
- I20231004002691Family PracticePA
- I20231101001440General PracticeDC
- I20240102004128Family PracticeCA
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
- 4208215OH· Issued by AETNA
- 000000560895· Issued by BCBS OHIO
Medicaid
- 0928401OH
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.