One provider matched this Medicaid ID.
Washington Medicaid ID 1658905 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
- 1266WA· Issued by GROUP HEALTH COOP ID
- 836293000WA· Issued by REGENCE BCBS OREGON
- 4531768WA· Issued by AETNA PROVIDER ID
- 0161428WA· Issued by LABOR & INDUSTRIES ID
- 0801186563WA· Issued by RAILROAD MEDICARE ID
- 348362800WA· Issued by US DEPT OF LABOR
- 2089786WA· Issued by FIRST HEALTH ID
- 00358WA· Issued by DEPT OF HEALTH EIP ID
- 8937316WA· Issued by CRIME VICTIMS ID
- 9250SMWA· Issued by REGENCE ASURIS ID
Medicaid
- 1658905WA
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
- I20100804000493Family PracticeWA
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.