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One provider matched this enrollment ID.

Enrollment ID I20160120002511 resolves to a single NPI record. Open the full profile for complete detail.

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SP
NPI · 1023066404 · Active
Samuel Putnam MD
Vascular & Interventional Radiology Physician · Southaven, Mississippi
Active
NPI
1023066404
Enrollment ID
I20160120002511
Taxonomy
2085R0204X
Type
Practitioner - Interventional Radiology

Medicare enrollment

This provider holds 16 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

  • 1172545PA· Issued by AETNA HMO
  • 30026885PA· Issued by KEYSTONE MERCY
  • 0546464000PA· Issued by AMERIHEALTH/INTERCOUNTY
  • 300099781PA· Issued by RRM
  • 7929044PA· Issued by AETNA PPO
  • 0546464000PA· Issued by IBC - PC/KHPE
  • 710371PA· Issued by HIGHMARK BLUE SHIELD
  • 8215722PA· Issued by CIGNA HMO/PPO

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.