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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20190501002016 resolves to a single NPI record. Open the full profile for complete detail.

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KW
NPI · 1477514305 · Active
Kelly Wood MD
Critical Care Medicine (Internal Medicine) Physician · Buffalo, New York
Active
NPI
1477514305
Enrollment ID
I20190501002016
Taxonomy
207RC0200X
Type
Practitioner - Critical Care (intensivists)

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

  • -122VA· Issued by TRICARE/CHAMPUS
  • 205799NY· Issued by NYS LICENSE
  • PARVA· Issued by AETNA
  • 0101058854VA· Issued by LICENSE
  • 1477514305VA· Issued by COVENTRY HEALTH NETWORK
  • PARVA· Issued by MULTIPLAN
  • 1477514305VA· Issued by UNITED HEALTHCARE
  • 490247VA· Issued by ANTHEM BC/BS
  • PARVA· Issued by VIRGINIA HEALTH NETWORK
  • PARVA· Issued by CORVEL
  • PARVA· Issued by USA MANAGED CARE
  • 1477514305VA· Issued by VIRGINIA PREMIER HEALTH PLAN
  • PARVA· Issued by CIGNA

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.