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What is an NPI number and what is it used for?

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What is an NPI number and what is it used for?

The NPI is a 10-digit number that will be used to identify you to your health care partners, including all payers, in all HIPAA standard transactions. The NPI will replace the identifiers you currently use in HIPAA standard transactions that you conduct with Medicare and with other health plans.

Is NPI same as license number?

The NPI does not replace numbers used for other identification purposes, including a provider’s taxpayer identification number, DEA, state license, or social security number. It does, however, replace all previous identification numbers that providers used for healthcare information transactions, claims, and billing.

How do I find my personal NPI number?

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CMS has created an online NPI registry(nppes.cms.hhs.gov) where a physician, other health care provider, or organization can access NPI information. This is part of the same National Plan and Provider Enumeration System (NPPES) web site on which NPI registry is completed.

WHO issues an NPI number?

NPIs are issued by the National Plan and Provider Enumeration System NPPES). You may apply for an NPI in one of three ways: • Through an easy web-based application process at https://nppes.cms.hhs.gov.

Does an LLC need an NPI number?

Providers classified as a partnership or corporation who have formed an LLC would be required to obtain both a Type 1 and Type 2 NPI.

Does a single member LLC need an NPI?

A: It depends. Providers who have formed a single-member LLC (i.e., disregarded entities) would only be eligible for a Type 1 NPI. Providers classified as a partnership or corporation who have formed an LLC would be required to obtain both a Type 1 and Type 2 NPI.

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What does it mean to be a sole proprietor for NPI number?

A sole proprietor/sole proprietorship is an individual and is elegible for a single NPI. The sole proprietor must apply for the NPI using his or her own SSN, not an EIN even if he/she has an EIN. Because a sole proprietor/sole proprietorship is an individual, he/she cannot be a subpart and cannot designate subparts.