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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20160816000000 resolves to a single NPI record. Open the full profile for complete detail.

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JT
NPI · 1215981196 · Active
James Tedesco M.D.
Internal Medicine · Hermitage, Tennessee
Active
NPI
1215981196
Enrollment ID
I20160816000000
Taxonomy
207R00000X
Type
Practitioner - Internal Medicine

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

  • 110248369TN· Issued by R/R MEDICARE
  • 4041640TN· Issued by TENNCARE
  • 7016359TN· Issued by AETNA
  • H19000TN· Issued by HEALTHSPRING
  • P2007234TN· Issued by FIRST HEALTH
  • 4041640TN· Issued by BCBS
  • 8714442TN· Issued by CIGNA

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.