Maryland Medicaid Provider Verification National Provider Identifier(NPI): Provider Last Name /Organization:   First Name: Medicaid Provider Base Number (First 7 Digits of your Medicaid Provider Number): Date of Service: / / (mm/dd/yyyy) Provider Type: All AMBULANCE SERVICES AMBULATORY SURGICAL CENTER ACUPUNCTURE ADDICTIONS OUTPATIENT PROGRAMS APPLIED BEHAVIOR ANALYSIS ATTENDANT WAIVER AUDIOLOGY SERVICES PROVIDER ASSISTED LIVING SERVICE PROV AUTISM WAIVER BRAIN INJURY WAIVER CASE MGMT-NOT ELSEWHERE CLASS CERT COMM BEHAVIORAL HEALTH CERT PROFECLINICL COUNSELOR CHILDRENS MED SVC PROVIDER CHIROPRACTOR CLINIC - ABORTION CLINIC - DRUG ABUSE(METHADONE) CLINIC - FAMILY PLANNING CLINIC - FED QUALIFIED HLTH CTR CLINIC - GENERAL CLINIC - LOCAL HLTH DEPT CLINIC - RURAL HEALTH CO/CFC/CPAS PROVIDERS COMMUNITY HEALTH WORKER COMPREHESIVE OUTPAT REHAB FAC DDA SERVICES PROVIDER DENTAL DIALYSIS FACILITIES DIABETES EDUCATION DIETICIAN/NUTRITIONIST DIAGNOSTIC SERVICES - OTHER DPP PROVIDER DUALS SPECIAL NEEDS PLANS DME/DMS DOULA BIRTH WORKER EPSDT THERAPEUTIC INTERVENTION EPSDT THERAPEUTIC NURSERY FREESTANDING BIRTH CENTERS HALFWAY HOUSE HIV CASE MANAGEMENT HMO/PACE HOME HEALTH AGENCY HOME VISITING HOSPICE PROVIDER HOSPITAL - All HOSPITAL - ACUTE HOSPITAL - CHRONIC HOSPITAL - PROV - NON-HOSP SVCS HOSPITAL - REHABILITATION ACUTE HOSPITAL - REHABILITATION CHRONIC HOSPITAL - SPECIAL OTHER ACUTE HOSPITAL - SPECIAL OTHER CHRONIC HOUSING SUPPORT SERVICES INTERMED CARE FAC-ADDICTION INTERMEDIATE CARE FACILITY 1915(I) INDIVIDUAL-GROUP PROV 1915(I) FOR SED CHILDREN KIDNEY DISEASE PROGRAM LABORATORIES - MEDICAL LEVY HOLDER - FEDERAL LEVY HOLDER - STATE LHD NURSE MONITORS LOCAL EDUC AGNCY/LOCAL LEAD AG MANAGED CARE ORGANIZATION MENTAL HEALTH CLINIC MENTAL HEALTH GROUP PROVIDER MENTAL HYGIENE ADMIN SERVICES MEDICAL DAY CARE, ADULT MEDICAL DAY CARE, CHILD MENTAL HEALTH CASE MGMT PROV MEDICARE ADVANTAGE PLAN MOBILE TREATMENT PROGRAM NOT AVAIL-USED FOR TOT IN MARS NURSE ANESTHETISTS-INDIV/GRP NURSE MIDWIFE-INDIV/GRP NURSE PRACTITIONER-INDIV/GRP NURSE PSYCHOTHERAPIST-INDV/GRP NURSING AGENCY NURSING FACILITY OCCUPAT THERAPIST-INDIV/GRP ONCOLOGY CENTERS ORAL HEALTH GROUP OXYGEN SERVICE PARTIAL HOSPITALIZATION PERS CARE AIDE LEVEL 4 AGENCY PERSONAL CARE AIDE PERSONAL CARE AIDE-AGENCY PHARMACY PHARMACIST PHYSICAL THERAPIST -INDIV/GRP PHYSICIAN PHYSICIAN ASSISTANT PHYSICIAN DENTIST PODIATRY PORTABLE X-RAY PRESCRIBER ONLY PRISON PSYCHIATRIC REHAB SERVICES FAC PSYCHOLOGIST REM CASE MANAGEMENT PROVIDERS RESIDENTIAL SERVICE AGENCY RESIDENTIAL SUD ADULT RESIDENTIAL TREATMENT CENTER SCHOOL-BASED HEALTH CLINIC SENIOR CENTER PLUS SOCIAL WORKER SPEECH/LANGUAGE PATHOLOGIST STATE AGENCY SUPPORTED EMPLOYMENT SVCS MEDICALLY COMPLEX NF TAPE INTERMEDIARY TRANSPORTATION SERVICES TELEHEALTH THERAPEUTIC COMMUNITY THERAPY GROUP PROVIDER URGENT CARE CENTER VISION CARE WHEELCHAIR VAN Notes: - At least one of the following fields must be completed: NPI, Provider Number, Provider Last Name/Organization. - Please specify the Date of Service for which to verify the provider's enrollment status. If no Date of Service is entered, results will show enrollment status for the current date. Please note: This provider verification service is for purposes of checking the Maryland Medicaid provider enrollment status, including Ordering, Referring, and Prescribing (ORP) (including attending) providers. Pursuant to federal Medicaid regulations, ORP providers on claims submitted to Maryland Medicaid must be "active" on the date of service with a Practice Type of "INDIVIDUAL PRACTITIONER." Providers listed as "active" in search results do not necessarily participate with or accept payment from Maryland Medicaid.
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