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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20041020001003 resolves to a single NPI record. Open the full profile for complete detail.

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DK
NPI · 1427025055 · Active
Dean Kereiakes M.D.
Interventional Cardiology · Cincinnati, Ohio
Active
NPI
1427025055
Enrollment ID
I20041020001003
Taxonomy
207RI0011X
Type
Practitioner - Interventional Cardiology

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

  • 000000019743· Issued by ANTHEM
  • 0641590· Issued by AETNA
  • 2520396· Issued by UNITED
  • 2833852· Issued by AMERIGROUP
  • 5088005· Issued by HUMANA
  • 311438871032· Issued by CARESOURCE

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.