NPI Registry of Doctors in Upper Gwynedd. Find Phone Number, Address, Contact details of medical healthcare providers in Upper Gwynedd | NPI Number Lookup for all Doctors

NPI Look Up


Find National Provider Identifier (NPI) Number for doctors in Upper Gwynedd. You can filter your search by choosing the speciality of doctor you want to search. You can also find mailing address, contact information and other necessary information of all Doctors in Upper Gwynedd from the list given below.
Provider Name/NPIAddressTaxonomy
Dr. Stephen Paul Spielberg
NPI: 1053361436
 201 Goldenrod Dr, , Upper Gwynedd 19446 Pediatrics
William Joseph Goldman
NPI: 1093017220
 121 Mahogany Way, , Upper Gwynedd 19446 Internal Medicine
Robert Ernest Bellet
NPI: 1366623068
 6407 Lilac Ct, , Upper Gwynedd 19446 Internal Medicine
Osteoporosis & Osteoarthritis Center Pc
NPI: 1467776138
 132 Mahogany Way, , Upper Gwynedd 19446 Internal Medicine
Dr. Preston Cary Kuptsow
NPI: 1871839092
 131 Mahogany Way, , Upper Gwynedd 19446 Obstetrics & Gynecology
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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


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
Who Must Obtain an NPI?
All health care providers who are HIPAA-covered entities, whether they are individuals (e.g., physicians, nurses, dentists, chiropractors, physical therapists, or pharmacists) or organizations (e.g., hospitals, home health agencies, clinics, nursing homes, residential treatment centers, laboratories, ambulance companies, group practices, Health Maintenance Organizations [HMOs], suppliers of durable medical equipment, pharmacies) must obtain an NPI. The NPI will be used by HIPAA-covered entities (e.g., health plans, health care clearinghouses, and certain health care providers) to identify health care providers in HIPAA standard transactions. A covered health care provider, under HIPAA, is any health care provider who transmits health information in electronic form in connection with a transaction for which the Secretary of Health and Human Services has adopted a standard, even if the health care provider uses a business associate to do so.
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