NPI Lookup
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NPI Lookup

NPI is a 10 digit unique identification number issued by the medical care providers in the United States by Centers for Medicare and Medicaid Services. The NPI has come in place of the Unique Provider Identification Number and was mainly used by the payers that also include commercial medical care insurers.

The modulation to NPI was delegated as a part of the Administrative Simplification portion of Health Insurance Portability and Accountability Act (HIPAA) in the year 1996.

All individuals that is the HIPAA covered medical related personages like physicians, their assistants, dentists, physio therapists, nurses, as well as the medical organizations like health care agencies, treatment centers, nursing home, hospitals,  or even agencies that practice as a group like pharmacy, pathological laboratories, and companies that manufacture medical equipments needs must possess the NPI, which functions as their unique identification number in cases of HIPAA transactions even though some billing agency may deal with the transaction.

NPI is a permanent identification number and it remains with the person concerned irrespective of his/her address or location of the job. The other individuals who are also an important part of the health industry like the housekeeping staff, billing personnel, etc does not need NPI as they supports the medical care team and is not a direct participant in it.

The NPI is an 8 digit alphanumeric code but remember that this is just a code and does not contain any information about the health care provider like his job location or the like.

NPI has a multi faceted usage. Let me enumerate on some of them:

  • Used by medical care providers to identify themselves.
  • The health plans make use of it in order to get coordinated with the other medical plans.
  • In cases related with law which may need a unique identification number.
Thus, it is clear that NPI is very important for personnel who are connected with the medical industry!

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