Who needs an NPI number

Who needs an NPI number?

Individual healthcare providers are granted a unique 10-digit identification number known as the National Provider Identifier, or NPI.

For the Health Insurance Portability and Accountability Act, the programmes and clearinghouses, must use NPIs in administrative and financial transactions regulated by HIPAA.

National Provider Identifier (NPI) is an Administrative Simplification Standard. The NPI is a unique identification number for covered health care facilities. Covered health care services, as well as all health

Obtaining an NPI: Who

All health care providers who are HIPAA-covered entities, whether individuals or organizations, are required by law to obtain an NPI when transmitting electronic health information in connection with HIPAA standard transactions, even if a billing agency prepares the transaction.

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a:

  1. A health-care provider that uses electronic transactions for certain of its transactions.
  2. Health care clearinghouse.
  3. Health plan (including commercial plans, Medicare, and Medicaid).

Types of NPIs

Individual NPI (Type 1)

Individual healthcare professionals, such as physicians, dentists, and all sole proprietors. An individual is only allowed to have one NPI.

Organization Health Care Providers (Type 2)

Who needs an NPI number

Physician groups, hospitals, nursing homes, and the company established when an individual joins a group practice are examples of healthcare providers who are organizations.

Options of npi registry

You can easily register for your NPI number through NPPES website. In the national plan and provider enumeration system website, navigate to the NPI webpage, and look under how to apply for an NPI for individual providers.

To complete the online NPI application, you must first obtain an Identity & Access (I&A) User ID. You may obtain this User ID by accessing https://nppes.cms.hhs.gov.

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