One provider matched this Medicaid ID.
Massachusetts Medicaid ID 3079902 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
- 0016866· Issued by NHP
- 719345· Issued by TUFTS HEALTH PLAN
- 719345· Issued by TUFTS MEDICARE PREFERRED
- 042297845· Issued by HCVM/FIRST HEATLH/COVENTY
- 900324· Issued by UNITED HEALTH CARE
- J11386· Issued by BLUE SHIELD
- 042297845· Issued by TRICARE
- 042297845· Issued by PHCS/MULTI-PLAN
- B20458702· Issued by CIGNA HEALTH CARE
- 000233· Issued by ONE HEALTH
- 042297845· Issued by GREAT WEST HEALTH CARE
- 80314· Issued by GIC/UNICARE
- 53309· Issued by FALLON
- 171346· Issued by HARVARD PILGRIM HEALTH
- 3681368· Issued by AETNA
Medicaid
- 3079902MA
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
- I20060309000510Orthopedic SurgeryMA
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.