Where to find your npi number
I suggest using this website, although all of the other sites really do the same exact thing. The author of the content you just read, put in lots of work to provide you with this article.
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The NPI does not change when you change practices or work in different settings. You will have only one individual NPI. It will be used by all health plans who are covered entities, eliminating what are likely many provider numbers assigned by Medicare, Medicaid, and private payers at present. If you practice as a sole proprietorship, you must apply as a type I individual. You will have to submit your social security number rather than your employer identification number even if you have one.
Eligible individuals working within an organization, including an S corporation, may also apply for an NPI as an entity Type I individual. From an NPI perspective, an S corporation is no different than a limited liability corporation or any other type of corporation. The fastest and easiest way for most physicians will be completing the online application form.
Complete the application online. You will need:. If you have someone other than yourself complete the application, they will also need to know in what country and state you were born, your date of birth, and your social security or individual taxpayer identification number. After receiving the form, mail applicaton completed and signed to the NPI Enumerator located in Fargo, North Dakota, whereby staff at the NPI Enumerator will enter the application data into the enumeration system. The form will be available only upon request through the NPI Enumerator.
Health care providers who wish to obtain a copy of this form must contact the NPI Enumerator in any of these ways:. Electronic File Interchange EFI , also referred to as bulk enumeration, is a process by which physician and other health care providers hereinafter simply referred to as provider or group of providers can have a particular organization the EFIO apply for NPI on their behalf.
What makes EFI so unique is that one file can contain hundreds or thousands of providers' applications. By submitting these applications both simultaneously and electronically, the administrative and financial burdens for both the provider community and the U. Physicians may report primary and secondary taxonomy codes in the NPI application.
For instance, a family medicine physician specializing in adolescent medicine might report a primary code for family medicine, QX, and a secondary code for adolescent medicine, QAX. For family nurse practitioners, the taxonomy code is LFX. For family medicine clinical nurse specialist, the taxonomy code is SFX. Physician assistants in the medical practice are assigned taxonomy code AMX.
For students, taxonomy code X is assigned. Interns should report the general practice taxonomy code DX. Residents should report the taxonomy code for the specialty of the residency program. If applying for an NPI for an organization, a group taxonomy code may be required. For taxonomy codes, a group practice is defined as a business entity under which one or more individuals practice. A group does not require multiple professional providers. A single provider group is a valid group and would be identified by the business entity name.
A provider is eligible for a single NPI. Type 2 NPI are organizations and may include acute care facilities, health systems, hospitals, physician groups, assisted living facilities, and healthcare providers who are incorporated.
The assignment of an NPI Number is not required for a provider to practice medicine. Fox Systems, Inc. The NPI remains with the provider regardless of a job or location change. It does, however, replace all previous identification numbers that providers used for healthcare information transactions, claims, and billing.
There are many ways to perform an NPI lookup for a provider or an organization. This is a free service to anyone. You can start with the NPI number or with a name. The search result includes the NPI number, the first and last name of the provider, the NPI type indicated with icons, primary practice address, phone, and primary taxonomy. The results are shown in the search result window and can be downloaded , or, even more streamlined and efficient, through an application programming interface API.
Tracking actions to a standardized identifier provides transparency that can impede and identify fraud. This is the key to ensuring quality care, quality outcomes, patient safety, and fraud prevention.
Healthcare organizations are legally responsible for assuring that individuals providing patient care are credentialed, verified, and competent to do so. When it comes to provider data, Tracey Tokheim, senior director of product management and enrollment at Verisys, understands the frustrations in keeping provider data accurate in the many places that organizations have it.
Tokheim has worked in credentialing,
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