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NPIs

Guidance for the National Provider Identifier.

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: August 03, 2020

The National Provider Identifier (NPI) is the adopted standard mandated by HIPAA.

 

About NPIs

An NPI is a unique 10-digit number used to identify health care providers. All health care providers who are HIPAA-covered entities, whether individuals or organizations, must obtain an NPI.  

Once assigned, an NPI remains the same, even if the provider has a change of name, address, or other information. NPIs do not carry information about a provider, like geographic location or specialty.

An NPI must be used in all HIPAA standard transactions

CMS has developed the National Plan and Provider Enumeration System (NPPES) to assign these unique identifiers. 

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.