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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20040407000916 resolves to a single NPI record. Open the full profile for complete detail.

Single match found
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KW
NPI · 1972508968 · Active
Keenan Wanamaker DO
Vascular Surgery Physician · Montgomery, Alabama
Active
NPI
1972508968
Enrollment ID
I20040407000916
Taxonomy
2086S0129X
Type
Practitioner - Vascular Surgery

Medicare enrollment

This provider holds 4 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

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.