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Enrollment ID I20240403003140 resolves to a single NPI record. Open the full profile for complete detail.

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NPI · 1396881546 · Active

Carolyn Blackman MD

Internal Medicine · Hope Valley, Rhode Island

Active

NPI

1396881546

Enrollment ID

I20240403003140

Taxonomy

207R00000X

Type

Practitioner - Internal Medicine

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Medicare enrollment

This provider holds 31 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

I20040923000354Internal MedicineRI
I20230417002220Internal MedicineCT
I20230612001240Internal MedicineNC
I20230831001537Internal MedicineVA
I20230901000035Internal MedicineFL
I20230913000323Internal MedicineUT
I20230913000501Internal MedicineME
I20230913000767Internal MedicineWA
I20231002003708Internal MedicineMA
I20231003001082Internal MedicineWV
I20231003003628Internal MedicineIL
I20231004000284Internal MedicineOH
I20231010000700Internal MedicineAL
I20231011000865Internal MedicinePA
I20231011001094Internal MedicineNJ
I20231011004207Internal MedicineAR
I20231018000283Internal MedicineNH
I20231018004093Internal MedicineAZ
I20231030001657Internal MedicineHI
I20231030002078Internal MedicineNV
I20231130000145Internal MedicineTN
I20231130002034Internal MedicineDC
I20231130002332Internal MedicineMD
I20240102000443Internal MedicineSD
I20240102000644Internal MedicineWY
I20240105003039Internal MedicineVT
I20240109001510Internal MedicineWI
I20240116001267Internal MedicineNM
I20240131005096Internal MedicineOR
I20240403003140Internal MedicineGA
I20240729001385Internal MedicineSC

Source: CMS PECOS public enrollment file.

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.