One provider matched this Medicaid ID.
Maryland Medicaid ID 683403500 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
- 170856PA· Issued by UNISON-WMG
- 1758618PA· Issued by HIGHMARK BLUE SHIELD
- 2423575000PA· Issued by AMERIHEALTH 65 PA
- 50053498PA· Issued by CAPITAL BLUE CROSS-WMG
- 63568PA· Issued by GEISINGER
- 20045808PA· Issued by AMERIHEALTH MERCY-WMG
- 7391171PA· Issued by AETNA
- 392055PA· Issued by MAMSI-WMG
- P00251486PA· Issued by RAILROAD MEDICARE
- 1547026PA· Issued by GATEWAY-WMG
- 647030MD· Issued by CAREFIRST MD BCBS
Source: NPPES public registry.
Medicare enrollment
This provider holds 2 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
- I20050914001171General SurgeryPA
- I20190610001469General SurgeryNJ
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.