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One provider matched this enrollment ID.

Enrollment ID O20040407000894 resolves to a single NPI record. Open the full profile for complete detail.

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KS
NPI · 1073566550 · Active
Kelly S Segars MD PC
Specialist · Iuka, Mississippi
Active
NPI
1073566550
Enrollment ID
O20040407000894
Taxonomy
174400000X
Type
Part B Supplier - Clinic/Group Practice

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.

Part B Supplier

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

  • 1609871607MS· Issued by NPI
  • 487623030MS· Issued by BCBS
  • 587922966MS· Issued by BCBS
  • 011800024MS· Issued by RAILROAD MEDICARE
  • 1649429481MS· Issued by NPI
  • 1750386488MS· Issued by NPI
  • 5121500528MS· Issued by PTAN
  • 5121500341MS· Issued by PTAN
  • P00123795MS· Issued by RAILROAD MEDICARE
  • 587286250MS· Issued by BCBS
  • 1750387890MS· Issued by NPI
  • 500001207MS· Issued by PTAN
  • 080117421MS· Issued by RAILROAD MEDICARE
  • 418807663MS· Issued by BCBS
  • 428559600MS· Issued by BLUE CROSS BLUE SHIELD
  • 1124298849MS· Issued by NPI
  • 420866905MS· Issued by BCBS

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.