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One provider matched this enrollment ID.

Enrollment ID I20111031000511 resolves to a single NPI record. Open the full profile for complete detail.

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KM
NPI · 1093797045 · Active
Kevin Mcmullen MD
Radiation Oncology Physician · Statesville, North Carolina
Active
NPI
1093797045
Enrollment ID
I20111031000511
Taxonomy
2085R0001X
Type
Practitioner - Radiation Oncology

Medicare enrollment

This provider holds 2 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

  • P01420734IN· Issued by RAILROAD MEDICARE
  • 7957688· Issued by AETNA
  • 802872NC· Issued by PARTNERS
  • 1333UNC· Issued by BCBS
  • 000000746372IN· Issued by ANTHEM
  • 000000990588IN· Issued by ANTHEM PIN
  • C6010NC· Issued by MEDCOST

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.