FindMyNPI
New Mexico Medicaid lookup

One provider matched this Medicaid ID.

New Mexico Medicaid ID 76102 resolves to a single NPI record. Open the full profile for complete detail.

Single match found
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SJ
NPI · 1104903434 · Active
San Juan Nephrology
Nephrology Physician · Farmington, New Mexico
Active
NPI
1104903434
Medicaid (NM)
76102
Taxonomy
207RN0300X
State
New Mexico

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

  • SAS65104CO· Issued by CO BCBS
  • 7388NM· Issued by NM BCBS

Medicaid

Source: NPPES public registry.

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.