One provider matched this enrollment ID.
Enrollment ID I20241120004219 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
- I20150615001887Family PracticeTX
- I20161117002482Family PracticeGU
- I20200115001190Family PracticeNV
- I20241120004219Family PracticeHI
- I20250325003466Family PracticeWA
- I20251016003395Family PracticeAZ
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
- 381908328-418· Issued by CARE SOURCE OF MI
- 381908328· Issued by COFINITY/PPOM
- 381908328· Issued by PRIORITY HEALTH
- 01012775· Issued by HEALTHPLUS OF MI
- 080G310660· Issued by BLUE CARE NETWORK OF MI, BCN ADVANTAGE, POS, BPP
- 080G310660· Issued by BCBS OF MI INCLUDES TRADITIONAL, TRUST PPO, BPP, COMMUNITY BLUE AND MICHILD
- 171902· Issued by GREAT LAKES HEALTH PLAN
- 381908328· Issued by AETNA
- 080G31066MI· Issued by BCBSM
- 381908328· Issued by HCAP
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.