The NPI or National Provider Information is the unique identifier for the healthcare provider that is used in standard transactions by covered organizations for identification purposes. It is mandatory for all HIPAA covered entities to obtain an NPI for use in all HIPAA standard transactions. When allocated, the NPI of a provider is permanent and stays with the provider regardless of changes in the job or location. Each provider should have been assigned a 10-digit NPI that is used to identify the provider in transactions with federal and state programs such as Medicare and Medicaid, and in claim transactions with other third party payors.
How do I find my NPI number?
How do I verify a doctor’s NPI?
It is easy to verify a doctor’s NPI. You can easily verify on NPIdb.org website. The website help find NPI Registry for any healthcare provider including doctor. You can search on it by group or individual name or with NPI number.
In the website you have to perform the following tasks:-
Search the NPI Registry by:
NPI number: - Put the NPI number of a doctor and you will get the information about him/her.
First & Last Name: - Find individual providers by first and/or last name.
Group Name:- Find organizations & medical groups by name.
Can't find what you're looking for?
The NPI registry is regularly updated, but not in real time. "Names with numerous variations are also spelled, such as "Leslie" vs "Lesly" vs "Lesley" and "Smith" vs "Symthe". You can try searching similar names which may help you find the correct provider regardless of spelling. Also, there are many health care providers who do not keep their information up to date when their practice changes.
National Provider Identifier Validation Tool
You can also visit https://www.eclaims.com/ to validate the NPI.
NPI numbers can be pre-validated using the ISO standard Luhn algorithm, which has been implemented in this website tool (eclaims).