One provider matched this Medicaid ID.
California Medicaid ID 00AX95450 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
Source: NPPES public registry.
Medicare enrollment
This provider holds 9 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
- I20060505000881Critical Care (Intensivists)CA
- I20200708001117Critical Care (Intensivists)SC
- I20210402000583Critical Care (Intensivists)GA
- I20210910000449Critical Care (Intensivists)AL
- I20220507000248Critical Care (Intensivists)IN
- I20230524001881Critical Care (Intensivists)LA
- I20230727002851Internal MedicineFL
- I20230928003375Critical Care (Intensivists)TN
- I20250919002301Critical Care (Intensivists)WV
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.