One provider matched this Medicaid ID.
New Mexico Medicaid ID 68880022 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 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
- I20040724000405Diagnostic RadiologyWI
- I20060713000016Diagnostic RadiologyNM
- I20241001001185Diagnostic RadiologyWA
- I20241008000837Diagnostic RadiologyND
- I20241008001112Diagnostic RadiologyIA
- I20241008004086Diagnostic RadiologySC
- I20241112002046Diagnostic RadiologyTX
- I20241125000830Diagnostic RadiologyMA
- I20250408002021Diagnostic RadiologyWY
- I20250508002279Diagnostic RadiologyMN
- I20251029001716Diagnostic 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.