One provider matched this Medicaid ID.
South Carolina Medicaid ID I74331 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
- 30BDNFF· Issued by MEDICARE ID
Medicaid
Source: NPPES public registry.
Medicare enrollment
This provider holds 6 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
- I20061010000307Diagnostic RadiologyGA
- I20250505002753Diagnostic RadiologyCO
- I20250908003134Interventional RadiologyCT
- I20250911001706Diagnostic RadiologyAZ
- I20251120004394Diagnostic RadiologyWY
- I20251229001831Diagnostic RadiologyWA
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.