One provider matched this Medicaid ID.
Indiana Medicaid ID 200059360 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
- 3121962· Issued by BCBS TENNESSEE
- 060057636IN· Issued by RAILROAD MEDICARE/MADISON
- 159683KY· Issued by SIHO-CTS
- 415633PIN· Issued by SIHO
- 1169908· Issued by CHA PROVIDER NETWORK
- 835778· Issued by FIRST HEALTH
- P01333108KY· Issued by MEDICARE RR-CTS
- 000000867525KY· Issued by ANTHEM-CTS
- 299856· Issued by FEDERAL BLACK LUNG PROGRA
- 50065353KY· Issued by PASSPORT-CTS
- 060052920· Issued by RAILROAD MEDICARE TVILLE
- 2552053001· Issued by CIGNA
- 000000052136KY· Issued by ANTHEM BCBS
- 1079152· Issued by PASSPORT HEALTH PLAN
- 25-00439KY· Issued by UNITED HEALTHCARE
- 060052923KY· Issued by RAILROAD MEDICARE
- 6113371060A11· Issued by ANTHEM SR. ADVANTAGE
Source: NPPES public registry.
Medicare enrollment
This provider holds a Medicare enrollment 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
- I20111212000547Cardiovascular Disease (Cardiology)IN
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.