One provider matched this Medicaid ID.
New Mexico Medicaid ID 65050347 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
Other
- 8F7702TX· Issued by BLUE CROSS
- 128699100· Issued by FIRSTCARE
- MDL4523TX· Issued by WORKERS COMPENSATION
Source: NPPES public registry.
Medicare enrollment
This provider holds 7 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
- I20080522000436Diagnostic RadiologyTX
- I20250107002874Diagnostic RadiologyIL
- I20250109003403Diagnostic RadiologyMI
- I20250311000303Diagnostic RadiologyNM
- I20250319003308Diagnostic RadiologyDE
- I20250401001271Diagnostic RadiologyNY
- I20250520001860Diagnostic RadiologyCA
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.