One provider matched this Medicaid ID.
Washington Medicaid ID 7871908 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.
Source: NPPES public registry.
Medicare enrollment
This provider holds 32 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.
Part B Supplier
- O20040309001119Clinic/Group PracticeWA
- O20201116000402Clinic/Group PracticeGA
- O20220716000327Clinic/Group PracticeCA
- O20220716000347Clinic/Group PracticeOR
- O20220720002656Clinic/Group PracticeVA
- O20220801002920Clinic/Group PracticeUT
- O20220808002471Clinic/Group PracticeAZ
- O20220901000758Clinic/Group PracticeFL
- O20221108002061Clinic/Group PracticeMA
- O20221203000061Clinic/Group PracticeTX
- O20240110003034Clinic/Group PracticeMI
- O20240216001001Clinic/Group PracticeNE
- O20240228002664Clinic/Group PracticeAL
- O20240620002540Clinic/Group PracticeNV
- O20240708001716Clinic/Group PracticeNC
- O20240718004865Clinic/Group PracticeDC
- O20240805003042Clinic/Group PracticeID
- O20240827001033Clinic/Group PracticeIA
- O20240902000420Clinic/Group PracticePA
- O20240923004061Clinic/Group PracticeSC
- O20241014003781Clinic/Group PracticeCO
- O20241016000891Clinic/Group PracticeMO
- O20250428001890Clinic/Group PracticeMT
- O20250605000346Clinic/Group PracticeCT
- O20250610002798Clinic/Group PracticeOH
- O20250815000450Clinic/Group PracticeHI
- O20250904004416Clinic/Group PracticeOK
- O20250910000596Clinic/Group PracticeME
- O20250916001916Clinic/Group PracticeLA
- O20251008003314Clinic/Group PracticeTN
- O20251015000651Clinic/Group PracticeIL
- O20251022002777Clinic/Group PracticeSD
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.