One provider matched this Medicaid ID.
Ohio Medicaid ID 2064591 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
- SUMMACAREOH· Issued by 615
- 000000127741OH· Issued by ANTHEM
- 080192475OH· Issued by RAILROAD MEDICARE
- 02488800OH· Issued by FEDERAL BLACK LUNG
- P00740244OH· Issued by RAILROAD CARE
- 341131413EOH· Issued by AULTCARE
Medicaid
- 2064591OH
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
- I20070501000321Family PracticeOH
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.