One provider matched this Medicaid ID.
Connecticut Medicaid ID 4064366 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
- 0319896CT· Issued by UNITED HEALTHCARE
- 038157400CT· Issued by FEDERAL BLACK LUNG
- OXFORDCT· Issued by H01316
- 0001352CT· Issued by US HEALTHCARE
- 05BCT· Issued by ANTHEM BLUE CROSS
- C001897CT· Issued by TRICARE
- 0464730045CT· Issued by CIGNA
- 059672CT· Issued by VALUE OPTIONS
- 0006170150CT· Issued by AETNA
- 900777CT· Issued by TUFTS INSURANCE
- 005CT· Issued by ANTHEM BLUE CROSS CT
- IS10001CT· Issued by HEALTHNET
Source: NPPES public registry.
Medicare enrollment
This provider holds 3 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.
Part A Provider
- O20071219000088HospitalCT
Part B Supplier
- O20031125000752Clinic/Group PracticeCT
- O20180917000259Hospital Department(s)CT
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.