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One provider matched this enrollment ID.

Enrollment ID I20120105000035 resolves to a single NPI record. Open the full profile for complete detail.

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KS
NPI · 1154339687 · Active
Keith Smithson OD
Optometrist · Reston, Virginia
Active
NPI
1154339687
Enrollment ID
I20120105000035
Taxonomy
152W00000X
Type
Practitioner - Optometry

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

  • 383934VA· Issued by ANTHEM BCBS/RESTON
  • 383935VA· Issued by ANTHEM BCBS/ALEXANDRIA
  • 2663321VA· Issued by AETNA HMO
  • 7671300VA· Issued by AETNA PPO
  • 9314-0007VA· Issued by BCBS/CAREFIRST
  • 295571VA· Issued by MAMSI/ALLIANCE

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.