One provider matched this Medicaid ID.
Virginia Medicaid ID 9669 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
- 48219VA· Issued by SENTARA
- 57741VA· Issued by SOUTHERN HEALTH/COVENTRY
- 700863VA· Issued by AETNA US HEALTHCARE
- 0100150VA· Issued by UNITED HEALTHCARE
- 101644VA· Issued by CIGNA
- 50630VA· Issued by ANTHEM
- 080015034VA· Issued by MEDICARE - RAILROAD
- 821005VA· Issued by MDIPA
Medicaid
- 9669VA
- 1427041656WI
- 5695872VA
Source: NPPES public registry.
Medicare enrollment
This provider holds 4 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
- I20100722000143Family PracticeVA
- I20181010002893Family PracticeDC
- I20240427001805Family PracticeTX
- I20240911002818Family PracticeWI
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.