One provider matched this Medicaid ID.
Ohio Medicaid ID 0887643 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
- 000000595762OH· Issued by ANTHEM
Medicaid
- 0887643OH
Source: NPPES public registry.
Medicare enrollment
This provider holds 5 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
- I20031121000043Emergency MedicineOH
- I20160106002941Emergency MedicineWI
- I20180313000355Internal MedicineAZ
- I20240117004469Internal MedicineIN
- I20241203003222Internal MedicineMN
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.