One provider matched this Medicaid ID.
Florida Medicaid ID REF804494 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 23 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
- I20050314000177HospitalistGA
- I20070404000035Internal MedicineFL
- I20090310000384Internal MedicineNJ
- I20130118000393Internal MedicinePA
- I20130826000689Internal MedicineNC
- I20131121000120Internal MedicineNY
- I20140904002665Internal MedicineLA
- I20141031000861Internal MedicineWV
- I20141104002538Internal MedicineOH
- I20150205001908HospitalistVA
- I20160525000506Internal MedicineMD
- I20170216002764Internal MedicineMO
- I20180829001376Internal MedicineWI
- I20200828001933HospitalistTX
- I20200914001413Internal MedicineCO
- I20201209001544Internal MedicineCA
- I20210204002158Internal MedicineGA
- I20210824001848Internal MedicineIA
- I20220125003104Internal MedicineWA
- I20220209001605Internal MedicineIL
- I20220405000323Internal MedicineOK
- I20221004003899Internal MedicineAZ
- I20240223000505Internal MedicineNM
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.