One provider matched this Medicaid ID.
Arkansas Medicaid ID 137052001 resolves to a single NPI record. Open the full profile for complete detail.
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
- 3112409TN· Issued by TN BCBS
- 5825694TN· Issued by AETNA
- 98023AR· Issued by AR BCBS
- 4169616TN· Issued by TN BCBS
Medicaid
Source: NPPES public registry.
Medicare enrollment
This provider holds 5 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
- I20161206002463Radiation OncologyOH
- I20191024000503Radiation OncologyMD
- I20191024000910Radiation OncologyDC
- I20231222000580Radiation OncologyAL
- I20241125003205Radiation OncologyMI
Source: CMS PECOS public enrollment file.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.