One provider matched this Medicaid ID.
New Mexico Medicaid ID 00754366 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.
Medicaid
Source: NPPES public registry.
Medicare enrollment
This provider holds 11 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
- I20091006000398Critical Care (Intensivists)TX
- I20160216001201Internal MedicineNM
- I20241231001211Infectious DiseaseMT
- I20250124000390Infectious DiseaseIN
- I20250124001046Infectious DiseaseAR
- I20250128001024Infectious DiseaseID
- I20250203001996Infectious DiseaseLA
- I20250203003037Infectious DiseaseAL
- I20250207002859Infectious DiseaseTN
- I20250521000141Infectious DiseaseNM
- I20250723003863Internal MedicineAZ
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.