One provider matched this Medicaid ID.
New Mexico Medicaid ID 02223040 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 10 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
- I20081113000252Obstetrics/GynecologyCA
- I20190122001445General PracticeNY
- I20200616002193General PracticeCT
- I20200715000059General PracticeNM
- I20201026002244General PracticeAZ
- I20201027001169General PracticeTX
- I20201125001493General PracticeVA
- I20230525000150Obstetrics/GynecologyNY
- I20241211001017General PracticeAL
- I20250114003150General PracticeTN
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.