One provider matched this Medicaid ID.
Arizona Medicaid ID 198250 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.
Medicaid
- 198250AZ
Other
- 1Z7086AZ· Issued by HEALTH NET OF AZ
- AZ0221810AZ· Issued by BCBSAZ
Source: NPPES public registry.
Medicare enrollment
This provider holds 11 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
- I20070417000187Diagnostic RadiologyIL
- I20070515000208Diagnostic RadiologyAZ
- I20081203000092Diagnostic RadiologyTX
- I20221024000790Diagnostic RadiologyKY
- I20230221002069Diagnostic RadiologyWI
- I20230322000211Diagnostic RadiologyNV
- I20230322000380Diagnostic RadiologyCA
- I20230322001169Diagnostic RadiologyNY
- I20230328002584Diagnostic RadiologyFL
- I20230329000057Diagnostic RadiologyCO
- I20230329003218Diagnostic RadiologyMN
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.