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One provider matched this enrollment ID.

Enrollment ID I20120502000468 resolves to a single NPI record. Open the full profile for complete detail.

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KC
NPI · 1306927181 · Active
Kevin Childers OD
Optometrist · Vandalia, Illinois
Active
NPI
1306927181
Enrollment ID
I20120502000468
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

  • 3672CIL· Issued by CATERPILLAR
  • 2684002IL· Issued by BLUE CROSS/BLUE SHIELD
  • 205184IL· Issued by EYE MED
  • WPS76001IL· Issued by ELEC MED PROC
  • 6182833511IL· Issued by VSP

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.