One provider matched this Medicaid ID.
New Mexico Medicaid ID 92753337 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.
Other
- 000000393004IN· Issued by ANTHEM-352047427
- P00331579IN· Issued by RR MEDICARE-351158723
- 073863IN· Issued by SIHO-351158723
- 000000492351IN· Issued by ANTHEM 203778927
- 468500MA· Issued by TUFTS HEALTH PLAN
- J28632MA· Issued by BCBS OF MA
- 000000393001IN· Issued by ANTHEM-351158723
- 073867IN· Issued by SIHO-352047427
- Q0433404IN· Issued by SHOCMO351158723-352047427
Medicaid
Source: NPPES public registry.
Medicare enrollment
This provider holds 2 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
- I20040621000871Diagnostic RadiologyWI
- I20060711000436Diagnostic RadiologyIN
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.