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Virginia Medicaid lookup

One provider matched this Medicaid ID.

Virginia Medicaid ID 64758 resolves to a single NPI record. Open the full profile for complete detail.

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LI
NPI · 1235177932 · Active
Lisa Illig MD
Hospice and Palliative Medicine (Internal Medicine) Physician · St Louis Park, Minnesota
Active
NPI
1235177932
Medicaid (VA)
64758
Taxonomy
207RH0002X
State
Virginia

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

  • 209808VA· Issued by SOUTHERN HEALTH
  • P00074226VA· Issued by MEDICARE PIN
  • 2959204001VA· Issued by CIGNA
  • 64758VA· Issued by COMMUNITY HEALTH
  • 278633VA· Issued by ANTHEM SVCS/HEALTHKEEPERS

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

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.