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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20041005000458 resolves to a single NPI record. Open the full profile for complete detail.

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LD
NPI · 1942207733 · Active
Lawrence Didomenico DPM
Podiatry · Boardman, Ohio
Active
NPI
1942207733
Enrollment ID
I20041005000458
Taxonomy
213E00000X
Type
Practitioner - Podiatry

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.

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

  • P02513· Issued by THE HEALTH PLAN
  • 1013181-1045507WV· Issued by WORKERS COMP
  • 4117771· Issued by AETNA
  • 539836· Issued by HIGHMARK

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.