One provider matched this Medicaid ID.
New Mexico Medicaid ID 92623514 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
Source: NPPES public registry.
Medicare enrollment
This provider holds 12 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.
Part B Supplier
- O20031223000272Independent Diagnostic Testing Facility (IDTF)PA
- O20040121000674Independent Diagnostic Testing Facility (IDTF)RI
- O20040310000201Independent Diagnostic Testing Facility (IDTF)MA
- O20040715000668Independent Diagnostic Testing Facility (IDTF)TX
- O20041021000858Independent Diagnostic Testing Facility (IDTF)WI
- O20060308000392Independent Diagnostic Testing Facility (IDTF)IL
- O20060711000289Independent Diagnostic Testing Facility (IDTF)NC
- O20061127000364Independent Diagnostic Testing Facility (IDTF)CT
- O20090821000214Independent Diagnostic Testing Facility (IDTF)FL
- O20120327000528Independent Diagnostic Testing Facility (IDTF)NM
- O20120724000283Independent Diagnostic Testing Facility (IDTF)LA
- O20150706002653Clinic/Group PracticeNV
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.