One provider matched this Medicaid ID.
New Mexico Medicaid ID 79709231 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
- 1003851726MO
- 406932AZ
- 79709231NM
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
- I20060711000192Diagnostic RadiologyFL
- I20180807002430Diagnostic RadiologyNM
- I20200107000499Diagnostic RadiologyAZ
- I20240412000138Diagnostic RadiologyVA
- I20240705001665Diagnostic RadiologyMI
- I20240729003460Diagnostic RadiologyNY
- I20241206001470Diagnostic RadiologyKY
- I20250227003176Diagnostic RadiologyPR
- I20251126000999Diagnostic RadiologyMD
- I20251126001184Diagnostic RadiologyDC
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.