One provider matched this Medicaid ID.
Ohio Medicaid ID 0805436 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
- 9273172· Issued by GROUP MEDICARE
- D368301· Issued by GROUP IND DIAGNOTICS MED
- 109934· Issued by KAISER
- 0119204· Issued by GROUP MEDICAID
- 2448496· Issued by AETNA
- CA4511· Issued by RR MEDICARE GROUP
- 10790137· Issued by CAQH
- 110213802· Issued by RR MEDICARE INDIVIDUAL
- 3610861· Issued by GROUP ASC MEDICARE
- L59930· Issued by SUMMACARE APEX
- 341783789055· Issued by CARESOURCE
- 000000188027· Issued by ANTHEM
- 1780634279· Issued by GROUP NPI
- CA4511· Issued by GROUP RR MEDICARE
- 2502257· Issued by UNITED HEALTHCARE
Medicaid
- 0805436OH
Source: NPPES public registry.
Medicare enrollment
This provider holds a Medicare enrollment 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
- I20051017000013Cardiovascular Disease (Cardiology)OH
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.