One provider matched this Medicaid ID.
Kentucky Medicaid ID KY 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.
Source: NPPES public registry.
Medicare enrollment
This provider holds 8 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
- I20210929003062Internal MedicineMI
- I20240131000501Infectious DiseaseTX
- I20240326003171Infectious DiseaseCA
- I20251015003065Internal MedicineAZ
- I20251016002043Internal MedicineMT
- I20251021000014Internal MedicineTN
- I20251105004719Internal MedicineID
- I20260108002966Infectious DiseaseNM
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.