One provider matched this Medicaid ID.
Louisiana Medicaid ID 1354635 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
- MD480209PA· Issued by PENNSYLVANIA STATE BOARD OF MEDICINE
- 0101250736VA· Issued by COMMONWEALTH OF VIRGINIA BOARD OF MEDICINE
- 239154MA· Issued by MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINE
- MD480209PA· Issued by PENNSYLVANIA BOARD OF MEDICINE
- A93959CA· Issued by PROVIDER LISCENSE
- MD.202481LA· Issued by LOUISIANA STATE MEDICAL BOARD PHYSICIAN LICENSE
Medicaid
- 1354635LA
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
- I20230706000250Pediatric MedicinePA
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.