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Ohio Medicaid lookup

One provider matched this Medicaid ID.

Ohio Medicaid ID 3143388 resolves to a single NPI record. Open the full profile for complete detail.

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NPI · 1235212556 · Active
Professional Medical & Surgical Supply, INC
Durable Medical Equipment & Medical Supplies · New Lenox, Illinois
Active
NPI
1235212556
Medicaid (OH)
3143388
Taxonomy
332B00000X
State
Ohio

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

  • 5306003914MI· Issued by WHOLESALER LICENSE
  • 69000595AIN· Issued by HME LICENSE
  • F01075656MO· Issued by CERTIFICATE OF AUTHORITY
  • 1043AL· Issued by HME
  • 16-00483KS· Issued by DME
  • 203.001039IL· Issued by HME LICENSE
  • 203.001039IL· Issued by HME
  • 69000595AIN· Issued by HME
  • 1347042OH· Issued by STATE OF OHIO FOREIGN BUSINESS LICENSE
  • 6000007643PA· Issued by CERTIFICATE OF DEVICE REGISTRATION
  • 08574/11.1MS· Issued by MEDICAL EQUIPMENT SUPPLIER
  • HME00240KY· Issued by HME
  • HME22862OH· Issued by HME
  • 104409276TN· Issued by CERTIFICATE OF REGISTRATION SALE & USE
  • 3XXXX3409 FOR NYNY· Issued by CERTIFICATE OF AUTHORITY
  • MG01323AR· Issued by SUPPLIER OF MEDICAL EQUIPMENT LICENSE

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.

DME Supplier

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.