What is NPI?
The National Provider Identifier (NPI) is an Administrative Simplification Standard under the Health Insurance Portability and Accountability Act (HIPAA). For covered health care facilities, the NPI is a unique 10 digit identification number. The NPI must be used in administrative and financial transactions implemented under HIPAA by covered healthcare providers and all insurance plans and health care clearinghouses. The NPI must be used instead of legacy provider identifiers in the HIPAA standards transactions.
By providing common specific health identifiers for health care providers, health care plans, and employers, NPI supports the medical industry and the public in general and offers easy electronic transmission of standard HIPAA transactions.
How do I obtain an NPI?
On-line implementation is favored. You can find and complete the application at https://nppes.cms.hhs.gov/. Please contact: 800-465-3203 OR e-mail Customer Support [at] npienumerator.com to submit a paper application. The process to obtain NPI is simple and you can easily fill the application within 20 minutes.
Is a health care provider required to obtain an NPI?
Yes. Under the NPI Final Rule (69 FR 3434), as of May 23, 2007, health care providers covered by HIPAA agencies are allowed to obtain an NPI and use it in HIPAA transactions to classify themselves as a health care provider. Small health plans were required to use the NPI since May 23, 2008.
Where NPI should be used?
The NPI must be used in place of legacy provider identifiers, such as a Unique Provider Identification Number (UPIN), Online Survey Certification & Reporting (OSCAR), and National Supplier Clearinghouse (NSC) in HIPAA standard transactions.
The amount of time it takes to receive an NPI depends on the number of applications processed at a given time, whether the application has been submitted on paper or electronically. It also depends on your application if all the details are correct on it or not. In 10 days, a provider who submits a duly completed electronic application might have an NPI.
How do I contact the NPI registry?
To contact your NPI registry, go to http://nppes.cms.hhs.gov/ or call customer service at 800.465.3203. You can also contact customer care at customerservice@NPIEnumerator.com.