How to Apply
- Phone: 1-800-465-3203 or TTY 1-800-692-2326.
- E-mail: [email protected].
- Mail: NPI Enumerator. 7125 Ambassador Road Suite 100. Windsor Mill, MD 21244-2751.
How do I apply for a NPI number online?
To obtain your National Provider Identifier, go to http://nppes.cms.hhs.gov/ or call customer service at 800.465. 3203. Questions about the status of an NPI application may be emailed to [email protected].
What an NPI number is and how you will obtain it?
The NPI Registry is an online query system that allows users to search for a health care provider’s information. The NPPES Downloadable File has disclosable information about health care providers with NPIs. Who May Get an NPI? All health care providers (physicians, suppliers, hospitals, and others) may get an NPI.
Can you practice without an NPI number?
If you try to submit a claim without an NPI number, it will probably be denied. And that doesn’t just go for Medicare claims—it’s also the rule for private payers. So, if you want to get paid for your services, you better get one of these 10-digit identifiers ASAP.
What does NPI mean?
National Provider Identifier
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers.
What is Type 1 and Type 2 NPI?
There are two types of NPIs: Type 1, for individual health care providers, such as dentists and hygienists, and Type 2 for incorporated businesses, such as group practices and clinics. Type 1 is for the provider.
What is the difference between group NPI and individual NPI?
WHAT IS THE DIFFERENCE BETWEEN A GROUP NPI AND AN INDIVIDUAL NPI? Individual NPI’s are obtained by all providers rendering services to patients. This NPI is unique to them and will stay with them for their career regardless of what Agency they are employed with. Group NPI’s are obtained for all Agencies with a Tax ID.
Is NPI same as tax ID?
Does the NPI replace the tax ID number? No, both the billing provider’s tax ID number and NPI are always required on claims. Any other providers identified, such as rendering provider or service facility, must be identified with their NPI only. Their tax ID number should not be included.
What does sole proprietor mean for NPI?
A sole proprietor/sole proprietorship is an individual and is elegible for a single NPI. The sole proprietor must apply for the NPI using his or her own SSN, not an EIN even if he/she has an EIN. Because a sole proprietor/sole proprietorship is an individual, he/she cannot be a subpart and cannot designate subparts.
Can an NPI have multiple locations?
You may associate multiple Practice Location with an NPI. However, at least one Practice Location must be associated with an NPI and one Practice Location must be identified as the Primary Practice Location.
Do NPI numbers expire?
Your NPI is yours for life and will never expire or be recycled and assigned to a different health care provider.
What is the NPI Final Rule?
The NPI Final Rule requires health care providers who are organizations and who are covered entities under HIPAA to determine if they have “subparts” that should be assigned NPIs. The NPI Final Rule provides guidance to those health care providers in making those determinations.
What is the benefit of using NPI numbers for payers?
A major benefit of an NPI is how it positively impacts health information exchange (HIE) and interoperability. The unique number eliminates the chances of typing in a duplicative name, or the risk that a patient’s file was incorrectly entered into the EHR.
Who must have an NPI number?
All Individuals and Organizations who meet the definition of health care provider as described at 45 CFR 160.103 are eligible to obtain a National Provider Identifier, or NPI. If you are a HIPAA covered provider or if you are a health care provider/supplier who bills Medicare for your services, you need an NPI.
Who assigns NPI numbers?
A. NPIs are issued by the National Plan and Provider Enumeration System NPPES). You may apply for an NPI in one of three ways: • Through an easy web-based application process at https://nppes.cms.hhs.gov.
What does an NPI number look like?
The NPI (National Provider Identifier) number is a 10-digit numerical identifier that identifies an individual provider or a healthcare entity. An NPI number is shared with other providers, employers, health plans, and payers for billing purposes. CMS.
Do all NPI numbers start with 1?
In order to avoid such collisions, NPIs will initially be issued with the first digit = 1 or 2. These digits will not be used as the first digits for other card issuer identifiers.
Where do I find my NPI?
CMS has created an online NPI registry(nppes.cms.hhs.gov) where a physician, other health care provider, or organization can access NPI information. This is part of the same National Plan and Provider Enumeration System (NPPES) web site on which NPI registry is completed.
How do I create a group NPI number?
How do I obtain a National Provider Identifier (NPI) number for a group or organization? To obtain an NPI or to discuss any questions you have regarding your NPI application, please contact the NPI Enumerator at 1-800-465-3203 or login with your individual user ID at the NPPES site https://nppes.cms.hhs.gov.
Can a physician have 2 NPI numbers?
Individual Providers can only have one NPI, however, Organization Providers can have multiple NPIs.
What is a Type 2 NPI Provider?
Type 2 – Healthcare providers that are organizations, including physician groups, hospitals, nursing homes, and the corporations formed when an individual incorporates him/herself.