One provider matched this enrollment ID.
Enrollment ID I20250102002107 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 9 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
- I20090820000603Infectious DiseaseTX
- I20241219000642Internal MedicineLA
- I20241219002685Internal MedicineMT
- I20250102002107Internal MedicineID
- I20250113003749Internal MedicineNM
- I20250116001444Internal MedicineAL
- I20250121000128Internal MedicineAZ
- I20250226002206Internal MedicineAR
- I20250310003493Internal MedicineTN
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.