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INTERMEDIARY - National Provider Identifier (NPI)

 

 

The Centers for Medicare and Medicaid Services (CMS) Administrator has announced a May 23, 2005 start of enumeration for the National Provider Identifier (NPI). The NPI is the standard unique health identifier for health care providers that was adopted by the Secretary of Health and Human Services under the Health Insurance Portability and Accountability Act of 1996. The Administrator’s announcement letter informs health care providers about the NPI, describes three ways to obtain an NPI, and gives them guidance as to what they should do once they have obtained their NPI. The letter, which also provides contacts and resources should health care providers have questions about the NPI and additional information on the National Provider Identifier can be found on the CMS Web site at: www.cms.hhs.gov/NationalProvIdentStand/*

Healthcare providers/suppliers are required by law to apply for a National Provider Identifier (NPI). To apply online, visit https://nppes.cms.hhs.gov* , or call 1-800-465-3203 to request a paper application.
 
Electronic Data Interchange (EDI) NPI Technical Reference Documents:
Electronic Data Interchange (EDI) National Provider Identifier (NPI) Reference Document for ANSI X12N 837 HIPAA Compliant Claims  - For reporting NPI ONLY
Electronic Data Interchange (EDI) National Provider Identifier (NPI) Reference Document for ANSI X12N 837 HIPAA Compliant Claims  - For reporting NPI and Legacy
PC-ACE Pro32 NPI and Taxonomy Guide
Medicare Part A EDI Front-End Accept/Reject Report Changes
 
NPI Reference Documents:
NPI - MLN Matters Articles
Special Edition Medlearn Matters Articles on NPI-Related Activities
Medicare Fee-For-Service (FFS) National Provider Identifier (NPI) Implementation Contingency Plan Revised
Important NPI Claims Processing Information
CMS NPI Training Modules
Notifying Medicare of Your NPI (National Provider Identifier)
CMS Announces the National Provider Identifier (NPI) Enumerator Contractor
Overview of the National Provider Identifier (NPI) Final Rule
The National Provider Identifier (NPI) Enumerator Contractor and Information on Obtaining NPIs
Instructions for Provider Notification Regarding National Provider Identifier (NPI)
NPI Transition Dates
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