West Virginia Medicaid lookup
One provider matched this Medicaid ID.
West Virginia Medicaid ID 0110693000 resolves to a single NPI record. Open the full profile for complete detail.
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TA
NPI · 1841365640 · Active
Tarek Anderson M.D.
Neonatal-Perinatal Medicine Physician · South Charleston, West Virginia
NPI
1841365640
Medicaid (WV)
0110693000
Taxonomy
2080N0001X
State
West 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
- 001723812WV· Issued by MTN ST BCBS
- 3607462003· Issued by CIGNA HEALTHCARE
- 4505652WV· Issued by AETNA
- W45031WV· Issued by MOUNTAIN STATE BLUECROSS
Medicaid
Source: NPPES public registry.
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.