One provider matched this enrollment ID.
Enrollment ID I20231003002002 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 10 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
- I20110119001330Physician AssistantGA
- I20131001000280Physician AssistantGA
- I20230217002022Physician AssistantNY
- I20230410000884Physician AssistantFL
- I20230717002156Physician AssistantOH
- I20230929002635Physician AssistantMN
- I20231003002002Physician AssistantCA
- I20231016003560Physician AssistantMI
- I20231020002326Physician AssistantIL
- I20240129002818Physician AssistantIN
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.