One provider matched this Medicaid ID.
Michigan Medicaid ID 4267902 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
- 300119457MI· Issued by MEDICARE RR PIN
- 3005011051MI· Issued by BCBS INDIVIDUAL PIN #
- 310E011330MI· Issued by BCBS GROUP #
Source: NPPES public registry.
Medicare enrollment
This provider holds 9 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
- I20031117000284Diagnostic RadiologyMI
- I20151217001694Diagnostic RadiologyIL
- I20151229001156Diagnostic RadiologyCA
- I20160318000874Diagnostic RadiologyNM
- I20160714001549Diagnostic RadiologyTX
- I20171213002333Diagnostic RadiologyWA
- I20190320002250Diagnostic RadiologyFL
- I20200310002128Diagnostic RadiologyNY
- I20240826002472Diagnostic RadiologyDE
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.