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One provider matched this enrollment ID.

Enrollment ID I20040120000733 resolves to a single NPI record. Open the full profile for complete detail.

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MP
NPI · 1275511966 · Active
Mark Phillips MD
Pain Medicine Physician · Greensboro, North Carolina
Active
NPI
1275511966
Enrollment ID
I20040120000733
Taxonomy
208VP0000X
Type
Practitioner - Interventional Pain Management

Medicare enrollment

This provider holds a Medicare enrollment 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

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

  • 720000034NC· Issued by RR MEDICARE
  • 99475NC· Issued by MEDCOST
  • 67625NC· Issued by BLUE CROSS BLUE SHIELD
  • 17619NC· Issued by PARTNERS
  • 2007829NC· Issued by UNITED HEALTHCARE
  • 371987800IL· Issued by USDOL
  • 5703760VA· Issued by VA MCD

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.