One provider matched this Medicaid ID.
Mississippi Medicaid ID 8940397 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.
Source: NPPES public registry.
Medicare enrollment
This provider holds 30 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
- I20100916000360Internal MedicineFL
- I20110128000153Internal MedicineMS
- I20110825000648Internal MedicineLA
- I20211102002503Internal MedicineAL
- I20211218000127Internal MedicineMN
- I20220318000529Internal MedicineIL
- I20220425000093Internal MedicineNY
- I20220708003072Internal MedicinePA
- I20220721000783Internal MedicineIA
- I20230103002075Internal MedicineGA
- I20230206002584Internal MedicineNC
- I20230227002143Internal MedicineOH
- I20230410002156Internal MedicineSC
- I20230523003449Internal MedicineCA
- I20230626000154HospitalistKS
- I20230728000177Internal MedicineMD
- I20230815002706Internal MedicineAR
- I20230907002146Internal MedicineTX
- I20231004000799Internal MedicineNJ
- I20231030000948Internal MedicineNM
- I20240613001348Internal MedicineVA
- I20240710002496Internal MedicineMI
- I20240718004897Internal MedicineDC
- I20240812003861Internal MedicineMA
- I20250205001423HospitalistWI
- I20250319002950Internal MedicineIN
- I20250729005038Internal MedicineCO
- I20250917003171Internal MedicineKY
- I20251224000779Internal MedicineID
- I20260310000490Internal MedicineOK
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.