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Enrollment ID I20101012000397 resolves to a single NPI record. Open the full profile for complete detail.

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NPI · 1538139480 · Active
Robert Walker OD
Optometrist · Yardley, Pennsylvania
Active
NPI
1538139480
Enrollment ID
I20101012000397
Taxonomy
152W00000X
Type
Practitioner - Optometry

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

  • 092637NJ· Issued by BLUE SHIELD HORIZON
  • 092637PA· Issued by BLUE SHIELD HIGHMARK
  • 092637NJ· Issued by BS NJ PLUS
  • 023480000· Issued by KEYSTONE AND AMERIHEALTH
  • 092637PA· Issued by INDEP BC PERSONAL CHOICE
  • 3208PA· Issued by AETNA

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.