FindMyNPI
Idaho Medicaid lookup

One provider matched this Medicaid ID.

Idaho Medicaid ID 690 resolves to a single NPI record. Open the full profile for complete detail.

Single match found
When a Medicaid ID maps to more than one NPI, this page shows a chooser to pick the right provider instead.
GW
NPI · 1376984054 · Active
Grover Wray Lmsw
Social Worker · Idaho Falls, Idaho
Active
NPI
1376984054
Medicaid (ID)
690
Taxonomy
104100000X
State
Idaho

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.

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.