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



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 ?
The National Provider Identifier is a unique identification number that will replace health-plan provider identifiers currently being used for the Health Insurance Portability and Accountability Act standard transactions.
Apgar suggested going to the WEDI Web site's National Provider Identifier Outreach Initiative (www.
Portico Provider Platform is a suite of integrated software solutions that optimizes provider enrollment, credentialing, contracting, pricing, provider relations and National Provider Identifier (NPI) compliance.
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.
ESN's work will help the Veterans Health Administration Chief Business Office achieve its goals of implementing and complying with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Department of Health and Human Services' published Final Rule titled the "Administrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to the Compliance Date for the International Classification of Diseases, 10th Edition (ICDC 10C CM and ICDC 10C PCS) Medical Data Code Sets.
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).
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.
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).
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.
The settlement resolves allegations that, between January 2007 and August 2012, the companies submitted claims which falsely represented that the physical therapy services being billed were either rendered or directly supervised by the physical therapist identified on the claims by his or her National Provider Identifier (NPI) number.
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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