One provider matched this Medicaid ID.
Missouri Medicaid ID 201503307 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
- 2561113MO· Issued by COX HEALTH PLANS UPI
- 5H031AR· Issued by ARKANSAS BC/BS
- 209237MO· Issued by BLUE CROSS / CHOICE
- 0600288MO· Issued by UNITED HEALTHCARE
- 4188130001MO· Issued by CIGNA MEDICARE
- 5H031AR· Issued by ARKANSAS HEALTH ADVANTAGE
- 0215051WA· Issued by DEPARTMENT OF LABOR WA
- 6874728001MO· Issued by CIGNA HEALTHCARE
- 776447MO· Issued by HEALTHLINK
- 5H031AR· Issued by ARKANSAS FIRST SOURCE
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
- I20060327000130NeurosurgeryMO
- I20071023000543NeurosurgeryAR
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.