One provider matched this Medicaid ID.
New Mexico Medicaid ID 21183023 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
- 300105816CO· Issued by RAILROAD MEDICARE RIA
- 300105817CO· Issued by RAILROAD MEDICARE MIC
- CO305959NE· Issued by MEDICARE TRAILBLAZER RIN
- NA1215054NE· Issued by RIN WPS MCR NA1215
- NA1214054NE· Issued by RIN MCR WPS NA1214
- 0000343822HI· Issued by HMSA ALL PRODUCTS
Medicaid
Source: NPPES public registry.
Medicare enrollment
This provider holds 4 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
- I20040825000519Diagnostic RadiologyCO
- I20060822000376Diagnostic RadiologyKS
- I20141008001822Diagnostic RadiologyHI
- I20250718001645Diagnostic RadiologyFL
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.