One provider matched this Medicaid ID.
Pennsylvania Medicaid ID 1969474 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
- 0029769NJ· Issued by NJ MEDICAL ASSISTANCE
- 231365971PA· Issued by HUMANA
- 231365971071PA· Issued by TRI-CARE
- 1530858PA· Issued by KEYSTONE HEALTH PLAN PPO
- 3Y4987PA· Issued by HEALTH NET
- 436224PA· Issued by HEALTH AMERICA HEALTH ASSURANCE
- P3213656PA· Issued by OXFORD
- 1092074PA· Issued by AETNA HMO
- 2216250000PA· Issued by KEYSTONE HEALTH PLAN HMO
- P12042552PA· Issued by MULTI-PLAN
- VL1530858PA· Issued by BLUE SHIELD OF PA
- 28824PA· Issued by HEALTH PARTNERS
- P00399669PA· Issued by RAILROAD MEDICARE
- 2332158PA· Issued by CIGNA
- 7947715PA· Issued by AETNA PPO
- 13090PA· Issued by ELDER HEALTH / BRAVO
- 231365971PA· Issued by UNITED HEALTH CARE
- 30010156PA· Issued by KEYSTONE MERCY
Medicaid
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
- I20251212003045PodiatryCA
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.