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One provider matched this enrollment ID.

Enrollment ID I20071005000686 resolves to a single NPI record. Open the full profile for complete detail.

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SA
NPI · 1376556019 · Active
Staton Awtrey M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Midland, Texas
Active
NPI
1376556019
Enrollment ID
I20071005000686
Taxonomy
208G00000X
Type
Practitioner - Cardiac Surgery

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

  • 147713503TX· Issued by MEDICAID - MIDLAND - PFC
  • 8663J0TX· Issued by BCBS AUSTIN ID NUMBER
  • 8663JOTX· Issued by MEDICARE PIN SAN ANGELO
  • TXB138584TX· Issued by TX MEDICARE-PREMIER
  • 85010XTX· Issued by BCBS SAN ANGELO ID NUMBER
  • TXB138584TX· Issued by MIDLAND MEDICARE NUMBER

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.