National Provider Identifier


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National Provider Identifier

Medicare A unique 8 character ID assigned by the National Provider System to providers/suppliers who bill for services or goods. See Medicare Identification Number, NSC, OSCAR, UPIN.

Na·tion·al Pro·vid·er I·den·ti·fi·er

(NPI) (nash'ŏ-năl prō-vī'dĕr ī-den'ti-fī'ĕr)
A standard and unique identification number created by the U.S. Department of Health and Human Services for each provider of health care services, supplies, and equipment.

national provider identifier

,

NPI

A unique 10-digit identification number used to identify health care personnel (e.g., physicians and other clinicians) and facilities (e.g., hospitals and laboratories). The NPI is used by all health plans for administrative and financial transactions.
References in periodicals archive ?
National Provider Identifier Overview and Educational Reference Guide, Final Version
In addition, the Workgroup for Electronic Data Interchange (WEDI) has assembled, in cooperation with CMS, an extensive set of resources called the National Provider Identifier Outreach Initiative.
The original deadline for switching to exclusive use of the National Provider Identifier (NPI) was May 23, 2007, but the Centers for Medicare and Medicaid Services gave the medical community another year to prepare.
WASHINGTON -- Medicare has stopped accepting claims that contain outdated provider identifying numbers, even if the claims also include a National Provider Identifier, despite concerns voiced by physician groups that many are still not ready.
In a letter sent to more than 70 patient advocacy groups and professional associations NACDS has emphasized the importance of ensuring that patients' medication therapies are uninterrupted when new National Provider Identifier (NPI) regulations go into effect next month.
The other critical factor bringing about positive change is the "administrative simplification" provision under HIPAA, which requires healthcare transactions to use a standard, unique 10-digit identifier for providers--the National Provider Identifier (NPI).
Physicians need to apply now for a national provider identifier number in order to start using them in May 2007, according to the Centers for Medicare and Medicaid Services.
Fox Systems (FOX), a wholly owned subsidiary of Cognosante, has been awarded a contract by the Centers for Medicare & Medicaid Services (CMS) to continue as the National Provider Identifier (NPI) Enumerator for the next 5 years.
Beginning in 2015, the proposal would require Medicare Part D prescription drug plans to deny coverage for any drug claim that does not include a prescriber's National Provider Identifier (NPI).
Beginning next year, the proposal would require Medicare Part D prescription drug plans to deny coverage for any drug claim that does not include a prescriber's National Provider Identifier (NPI).
Physicians and other providers who fail to comply with the May 23 deadline to acquire and start using a National Provider Identifier will not be penalized if they can show they deployed a "contingency plan," the Centers for Medicare and Medicaid Services announced.

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