An NPI (National Provider Identifier) is an identification number assigned to health care providers by the CMS (Centers for Medicare and Medicaid Services). It is a 10-digit number used for a variety of reasons in the healthcare industry. NPI
The NPI number is the official identifier for Medicaid service providers as well as other private healthcare services. The NPI number officially replaced UPIN (supplier unique identification number), which was used in the past. Health care providers must apply for an NPI number through an application process on the CMS website. Health professionals need to have this number in order to receive reimbursement from insurance companies and prescribe medication. Also, in order to refer patients to other professionals who are in the insurance system, an NPI number is required.
More NPI Information
The NPI number system was established by Congress in the Health Insurance Portability and Accountability Act (HIPAA) in 1996. Numbers began to be issued in 2006. CPF, date of birth, city and state, license number and country of birth information are required to receive the NPI number. Once an NPI number is issued, it is permanent regardless of circumstances such as work or change of location. If a health service does not charge insurance companies, it is still mandatory that they have an NPI number.
Who needs NPI?
These are the specific health care professions that need a number- NPI nurses, doctors, physician assistants, physical therapists, psychiatrists, counselors, dentists, chiropractors, pediatricians, social workers and so on. These professions can be under an organization or they can be a private service. As for organizations, hospitals, nursing homes, treatment homes, rehabilitation centers, internal medicine centers, pharmacies and medical laboratories you also need an NPI number. All HIPAA businesses and services require NPI
What is used the most
There are a few other ways an NPI can be used - . ? For medical activities that require identification, identify healthcare professionals on patient records and healthcare plans to work with other healthcare plans, by healthcare professionals to identify other healthcare professionals and organizations, and for the Department of Health to use when investigate fraud.
There is a national registry for the NPI number, which can be accessed online. It was made available on September 4, 2007 . It can be used to find another carrier’s NPI if needed.