Arizona Medicaid lookup
One provider matched this Medicaid ID.
Arizona Medicaid ID 977358 resolves to a single NPI record. Open the full profile for complete detail.
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SM
NPI · 1942481718 · Active
Sundance Medical Associates PLLC
Family Medicine · Gilbert, Arizona
NPI
1942481718
Medicaid (AZ)
977358
Taxonomy
207Q00000X
State
Arizona
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Source: NPPES public registry.
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.