The purpose of the National Provider Identifier NPI is to uniquely identify a health care provider in standard transactions, such as health care claims. NPIs may also be used to identify health care providers on prescriptions, in internal files to link proprietary provider identification numbers and other information, in coordination of benefits between health plans, in patient medical record systems, in program integrity files, and in other ways. You are a covered entity if you conduct any electronic transaction with federal health programs.
Your individual NPI is yours even if your employer files the application for it. 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. Will my NPI information be available to others? Sole Proprietorships 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. How do I apply for my NPI? You can apply for an NPI in one of three ways: Mail in a written application. Through an electronic file interchange provided by a large organization.
Online and Paper Applications The fastest and easiest way for most physicians will be completing the online application form. Complete the application online.
Legacy current provider identification numbers UPIN number License numbers Mailing address and practice address es Phone number and the name of the person who will serve as a contact should the enumerator need further information. 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: 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.
What is my taxonomy number? 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.