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Massachusetts Medicaid lookup

One provider matched this Medicaid ID.

Massachusetts Medicaid ID 2071908 resolves to a single NPI record. Open the full profile for complete detail.

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RB
NPI · 1689626913 · Active
Robert Black MD
Nephrology Physician · Worcestor, Massachusetts
Active
NPI
1689626913
Medicaid (MA)
2071908
Taxonomy
207RN0300X
State
Massachusetts

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

  • 7763607· Issued by US HEALTHCARE
  • 042472266· Issued by ONE HEALTH PLAN
  • 042472266· Issued by PRIVATE HEALTHCARE SYSTEM
  • 26773· Issued by HEALTHY START
  • B18224· Issued by BLUE CARE ELECT
  • 042472266· Issued by HEALTHCARE VALUE MGMT
  • 2071908· Issued by MEDICAID WELFARE
  • 26773· Issued by CHILDRENS MED SEC PLAN
  • 7763607· Issued by AETNA
  • 9900140· Issued by FALLON COMM HEALTH PLAN
  • 202138· Issued by CIGNA HEALTH PLAN
  • 783998· Issued by MVP HEALTH CARE
  • AA2834· Issued by HARVARD PILGRAM HLTH CARE
  • 3100051· Issued by EVERCARE
  • B18224· Issued by BLUE SHIELD INDEMNITY
  • B18224· Issued by BLUE SHIELD HMO BLUE

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.