One provider matched this Medicaid ID.
Washington Medicaid ID 2041663 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.
Medicaid
Source: NPPES public registry.
Medicare enrollment
This provider holds 22 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
- I20150319000784Internal MedicineWA
- I20240627002922Internal MedicineWY
- I20240701003282Internal MedicineFL
- I20240702004166Internal MedicineMO
- I20240703000817Internal MedicineTX
- I20240703001879Medical OncologyCA
- I20240703002461Internal MedicineCO
- I20240705000480Internal MedicineLA
- I20240705002724Internal MedicineGA
- I20240705002840Internal MedicineWI
- I20240706000150Medical OncologyIL
- I20240707000064Internal MedicineNJ
- I20240707000094Internal MedicineDE
- I20240708000620Internal MedicineDC
- I20240718003687Internal MedicineMI
- I20240722000652Internal MedicineKS
- I20240731001767Internal MedicineNY
- I20240731004644Internal MedicineMA
- I20240810000246Internal MedicineMN
- I20240927000064Internal MedicinePA
- I20241021002429Internal MedicineHI
- I20241112000714Internal MedicineVA
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.