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One provider matched this enrollment ID.

Enrollment ID I20060331000053 resolves to a single NPI record. Open the full profile for complete detail.

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TK
NPI · 1043314198 · Active
Timothy Kelliher MD
Neurology · Beverly, Massachusetts
Active
NPI
1043314198
Enrollment ID
I20060331000053
Taxonomy
2084N0400X
Type
Practitioner - Neurology

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

  • 722666· Issued by TUFTS
  • 814325· Issued by AETNA USHC
  • DM9771· Issued by HCHP
  • J31266· Issued by BLUE CROSS

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.