NPI Look Up

What is NPI Number?

The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Benefits of an NPI - Simple electronic transmission of HIPAA standard transactions - Standard unique health identifiers for health care providers, health care plans, and employers and - Efficient coordination of benefit transactions
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Where NPI should be used?

The NPI must be used in place of legacy provider identifiers, such as a Unique Provider Identification Number (UPIN), Online Survey Certification & Reporting (OSCAR) and National Supplier Clearinghouse (NSC) in HIPAA standard transactions. There are two categories of health care providers for NPI enumeration purposes. Entity Type 1 providers are individual providers who render health care (e.g., physicians, dentists, nurses). Sole proprietors and sole proprietorships are Entity Type 1 (Individual) providers. Organization health care providers (e.g., hospitals, home health agencies, ambulance companies) are considered Entity Type 2 (Organization) providers.
Obtaining an NPI Does Not: - Ensure a provider is licensed or credential - Guarantee payment by a health plan - Enroll a provider in a health plan - Turn a provider into a covered provider - Require a provider to conduct HIPAA transactions or - Change or replace the current Medicare enrolment or certification process
NPI Number Lookup State wise
Alaska Alabama Arkansas
Arizona California Colorado
Connecticut Delaware Florida
Georgia Hawaii Iowa
Idaho Illinois Indiana
Kansas Kentucky Louisiana
Massachusetts Maryland Maine
Michigan Minnesota Missouri
Mississippi Montana North Carolina
North Dakota Nebraska New Hampshire
New Jersey New Mexico Nevada
New York Ohio Oklahoma
Oregon Pennsylvania Rhode Island
South Carolina South Dakota Tennessee
Texas Utah Vermont
Virginia Washington West Virginia
Wisconsin Wyoming

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