One provider matched this Medicaid ID.
Missouri Medicaid ID 242662005 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
- 187175· Issued by HEALTHLINK
- 063896· Issued by HEALTH ALLIANCE
- 185214MO· Issued by 185214
- 430954380CAP· Issued by MERCY HEALTH PLAN
- 036-077507IL· Issued by IL BLUE CROSS BLUE SHIELD
Source: NPPES public registry.
Medicare enrollment
This provider holds 3 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
- I20080829000383Diagnostic RadiologyMO
- I20110118000801Diagnostic RadiologyIL
- I20230703002440Diagnostic RadiologyKY
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.