One provider matched this Medicaid ID.
North Carolina Medicaid ID 89135EN 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 19 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
- I20040126000924Emergency MedicineNC
- I20200402003311Emergency MedicineFL
- I20200403000080Emergency MedicineMA
- I20200403001736Emergency MedicineVA
- I20200406000012Emergency MedicineNJ
- I20200406002930Emergency MedicineTX
- I20200406003152Emergency MedicineCO
- I20200408000039Emergency MedicineGA
- I20200409003489Emergency MedicineNV
- I20200409003521Emergency MedicineWA
- I20200409003551Emergency MedicineOR
- I20200409003574Emergency MedicineAZ
- I20220818003673Emergency MedicineDC
- I20220908001309Emergency MedicineOK
- I20221006002228Emergency MedicineCA
- I20230220000316Emergency MedicineAR
- I20231207001360Emergency MedicineIL
- I20240119003435Emergency MedicineMD
- I20240313003183Emergency MedicineMN
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.