What is physician npi number

The national standard simplifies the processes and reduces the administrative burdens on healthcare providers.

Providers are required to use their NPI Number when transmitting any health information in electronic form in connection with a transaction. In addition to maximizing efficiency and standardizing provider identifiers, The National Provider Identifier NPI is a key to preventing fraud in Medicare. The NPI allows the verification of the credentials of a provider who is treating or prescribing and ordering equipment and supplies. All individuals and organizations that meet the definition of healthcare provider as described at 45 CFR These include health plans, health plan clearinghouses, healthcare providers who transmit health information electronically, and healthcare organizations that transmit protected health information to covered entities who require access to the protected health information.

Whether you are a HIPAA covered provider, a healthcare provider, or supplier who bills federally funded programs for your services, you must have an NPI. Type 1 NPI includes individuals such as sole proprietors, dentists, physicians, and surgeons.

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. Read More. Find your unique NPI below. Realtime Vision Eligibility Coming Summer Eligibility Verification.

Accept Decline Cookie Settings. About Cookies. Cookies are small text files that can be used by websites to make a user's experience more efficient. The universal NPI number has made billing and tracking more efficient. It may also be used by healthcare providers to identify themselves or other providers in healthcare transactions or related correspondence; by physicians on prescriptions; by health plans in their communications and transactions; to coordinate benefits with other health plans; to identify health care providers in electronic patient medical records; by the Department of Health and Human Services to track providers in fraud and abuse cases, and other functions.

The application should take about 20 minutes to complete and an NPI number may be received in as little as 10 days. Providers can also apply for an NPI number through a paper form or through an organization on their behalf. Complete instructions are found on the CMS website here. 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.