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Indiana Medicaid lookup

One provider matched this Medicaid ID.

Indiana Medicaid ID 200166360 resolves to a single NPI record. Open the full profile for complete detail.

Single match found
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JG
NPI · 1295882280 · Active
John Goldenberg M.D.
Otolaryngology Physician · Carmel, Indiana
Active
NPI
1295882280
Medicaid (IN)
200166360
Taxonomy
207Y00000X
State
Indiana

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

  • 266180H71IN· Issued by INDIVIDUAL MEDICARE PTAN
  • Q00256328IN· Issued by RAILROAD MEDICARE
  • 040011990IN· Issued by MEDICARE RAILROAD

Medicaid

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

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.