One provider matched this Medicaid ID.
Maryland Medicaid ID 7873000000 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
- 7961239VA· Issued by AETNA PPO
- 2974740VA· Issued by AETNA HMO
- 0070VA· Issued by CAREFIRST BCBS
- 113122VA· Issued by AMERIGROUP
- 221648VA· Issued by KAISER PERMANENTE
Medicaid
Source: NPPES public registry.
Medicare enrollment
This provider holds 4 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
- I20041202000661Diagnostic RadiologyDC
- I20101221000894Diagnostic RadiologyVA
- I20200211000536Diagnostic RadiologyMD
- I20241113003645Diagnostic RadiologyCA
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.