One provider matched this enrollment ID.
Enrollment ID I20251103003242 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 2 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
- I20231116002763Pediatric MedicineMA
- I20251103003242Pediatric MedicineWV
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
- 0099AZTX· Issued by MEDICARE GROUP #
- 10013283TX· Issued by AMERIGROUP PROVIDER #
- 8K8792TX· Issued by BCBS PROVIDER #
- 094999202TX· Issued by MEDICAID GROUP #
- 3231HMTX· Issued by BCBS GROUP #
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.