The National Provider Identifier (NPI) is a 10-digit number required on all HIPAA standard electronic transactions.
A 10-digit identifier called the National Provider Identifier (NPI) is required for all HIPAA-compliant electronic transactions.
On HIPAA standard electronic transactions, NPIs have superseded all independently issued identifiers, including Medicaid PINs, Medicare UPINs, and health plan-assigned IDs.
Despite the fact that it is a unique numerical identification, it does not contain information about a provider, such as the state in which they practice, the sort of provider they are, or their expertise.
You should be aware that once you obtain an NPI, it does not change. It stays the same for the rest of your life.
Even if you change your name, address, taxonomy, or any other personal information, the NPI remains the same.
Is the NPI required for all healthcare providers?
Yes, indeed. All providers submitting claims electronically should get and use an NPI.
All healthcare providers covered by HIPAA, including but not limited to individual practitioners, groups, and companies, must have an NPI.
How do I apply for my NPI?
If you haven’t already applied, you should do so as soon as possible via one of three methods:
Use the web-based NPI application method for the most efficient application processing and fastest NPI receipt. Visit https://nppes.cms.hhs.gov/NPPES/Welcome.do to apply online through the National Plan and Provider Enumeration System (NPPES).
You can agree to have an electronic file interchange organization (EFIO) submit application data on your behalf (i.e., through a bulk enumeration process) if an EFIO requests your permission to do so.
You can request a paper copy of the NPI Application/Update Form (CMS-10114) from the Enumerator:
- By phone: 1-800-465-3203 or TTY 1-800-692-2326
- By email: firstname.lastname@example.org
- By mail:
- NPI Enumerator
- P.O. Box 6059
- Fargo, ND 58108-6059
Who Can Obtain an NPI?
An NPI number can be obtained by any HIPAA-covered entity that provides health care services, such as doctors, healthcare providers, physicians, suppliers, or hospitals. A provider must have an NPI in order to participate in Medicare.
Do I need a new NPI for each location?
No, you do not need a new NPI number every time you change your location. NPI remains same throughout your lifetime.