One provider matched this Medicaid ID.
Nevada Medicaid ID 2019966 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
- 4129712FL· Issued by AETNA PROVIDER NUMBER
- 592485899FL· Issued by METCARE VENDOR ID #
- 00787FL· Issued by UNV. HLTHCR. PROVIDER #
- 205786FL· Issued by AVMED PROVIDER NUMBER
- MB505FL· Issued by MEDICARE
- MB506FL· Issued by MEDICARE
- 24-05164FL· Issued by UTD. HLTHCR. PROVIDER #
- 0916153-016FL· Issued by CIGNA PROVIDER NUMBER
- MD11285RI· Issued by LICENSE
- 76715FL· Issued by OP. ENG. LOC. 825 PROV. #
- 985684FL· Issued by WELLCARE
Source: NPPES public registry.
Medicare enrollment
This provider holds 3 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
- I20100217000149Radiation OncologyFL
- I20200310000330Radiation OncologyNM
- I20251103000499Radiation OncologyRI
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.