One provider matched this enrollment ID.
Enrollment ID I20240702003705 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 17 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
- I20090407000606Emergency MedicineCA
- I20090709000670Emergency MedicineTX
- I20240424003767Emergency MedicineNM
- I20240628001412Emergency MedicineIN
- I20240628003869Emergency MedicineAZ
- I20240629000009Emergency MedicineNJ
- I20240701002583Emergency MedicineCO
- I20240702003705Emergency MedicineMT
- I20240703000587Emergency MedicineOR
- I20240703002552Emergency MedicineNV
- I20240725000315Emergency MedicineTN
- I20240806000175Emergency MedicineKS
- I20240807003597Emergency MedicineMA
- I20240807004288Emergency MedicineME
- I20241022002310Emergency MedicineNH
- I20241028002765Emergency MedicineKY
- I20241204002113Emergency MedicineMI
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
Other
- 8CA609TX· Issued by BCBSTX
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.