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NPI Fact Sheet
- NPI is a requirement of HIPAA.
- NPI is a ten-digit number that will be used to submit claims and transmit any electronic health information to all payers.
- NPI applies to physicians, non-physician health care practitioners, other suppliers and certified providers such as institutions, home health agencies and skilled nursing facilities.
- Each individual practitioner will receive one NPI.
- Organization providers (i.e.: hospitals, group health care providers) may obtain an NPI for each of its subparts. A subpart can be considered a separate physical location of an organization health care provider, member of a chain or an organization health care provider separately licensed or certified.
- Providers can apply for NPIs beginning May 23, 2005
- Starting May 23, 2007, providers will be required to use their NPI.
- The Centers for Medicare & Medicaid Services (CMS) has developed a National Plan and Provider Enumeration System (NPPES) to process applications and issue NPIs.
- A single entity referred to as an enumerator will operate the NPPES.
- CMS has chosen FOX Systems, Scottsdale, Arizona as the enumerator.
- All dates are subject to change based on CMS direction.
For current information about NPIs, visit the following Web sites:
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