One provider matched this Medicaid ID.
New Mexico Medicaid ID S8664 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
- 300115498CO· Issued by RR MIC MCRE
- P00248540CO· Issued by RAILROAD MEDICARE IVLC
- 300115499CO· Issued by RR RIA MCRE
- 300115497CO· Issued by RR DIA MCRE
Source: NPPES public registry.
Medicare enrollment
This provider holds 7 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
- I20050623000632Diagnostic RadiologyCO
- I20090114000775Interventional RadiologyTX
- I20231009001349Diagnostic RadiologyWA
- I20241209001929Interventional RadiologyFL
- I20241213001452Diagnostic RadiologyMI
- I20251229002371Diagnostic RadiologyIL
- I20260309003027Diagnostic RadiologyNY
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.