One provider matched this Medicaid ID.
Missouri Medicaid ID 200023161 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
- ME134497FL· Issued by FL DOH
Medicaid
Source: NPPES public registry.
Medicare enrollment
This provider holds 10 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
- I20150731014411Diagnostic RadiologyMO
- I20170912001242Diagnostic RadiologyMI
- I20180625000103Diagnostic RadiologyTX
- I20201204001265Diagnostic RadiologyNY
- I20210203000533Diagnostic RadiologyFL
- I20220512002483Diagnostic RadiologyIL
- I20240930000391Diagnostic RadiologyWI
- I20250116001521Diagnostic RadiologyCT
- I20250923004750Diagnostic RadiologyPA
- I20251126003118Diagnostic RadiologyNV
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.