One provider matched this enrollment ID.
Enrollment ID I20241211001280 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
- I20200908000738Internal MedicineTX
- I20240510002191Internal MedicineCO
- I20240513002173Internal MedicinePA
- I20240514001975Internal MedicineOH
- I20240516000430Internal MedicineIL
- I20240516004239Internal MedicineAZ
- I20240517003329Internal MedicineAL
- I20240523004030Internal MedicineNC
- I20241001002289Geriatric MedicineMS
- I20241211001280Geriatric MedicineWA
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.