It will be used by all health plans who are covered entities, eliminating what are likely many provider numbers assigned by Medicare, Medicaid, and private payers at present. If you practice as a sole proprietorship, you must apply as a type I individual. You will have to submit your social security number rather than your employer identification number even if you have one. Eligible individuals working within an organization, including an S corporation, may also apply for an NPI as an entity Type I individual.
From an NPI perspective, an S corporation is no different than a limited liability corporation or any other type of corporation. The fastest and easiest way for most physicians will be completing the online application form. Complete the application online. You will need:. If you have someone other than yourself complete the application, they will also need to know in what country and state you were born, your date of birth, and your social security or individual taxpayer identification number.
After receiving the form, mail applicaton completed and signed to the NPI Enumerator located in Fargo, North Dakota, whereby staff at the NPI Enumerator will enter the application data into the enumeration system.
The form will be available only upon request through the NPI Enumerator. Health care providers who wish to obtain a copy of this form must contact the NPI Enumerator in any of these ways:. Electronic File Interchange EFI , also referred to as bulk enumeration, is a process by which physician and other health care providers hereinafter simply referred to as provider or group of providers can have a particular organization the EFIO apply for NPI on their behalf.
What makes EFI so unique is that one file can contain hundreds or thousands of providers' applications. By submitting these applications both simultaneously and electronically, the administrative and financial burdens for both the provider community and the U.
Physicians may report primary and secondary taxonomy codes in the NPI application. For instance, a family medicine physician specializing in adolescent medicine might report a primary code for family medicine, QX, and a secondary code for adolescent medicine, QAX. For family nurse practitioners, the taxonomy code is LFX. For family medicine clinical nurse specialist, the taxonomy code is SFX. Physician assistants in the medical practice are assigned taxonomy code AMX. For students, taxonomy code X is assigned.
Interns should report the general practice taxonomy code DX. Residents should report the taxonomy code for the specialty of the residency program. If applying for an NPI for an organization, a group taxonomy code may be required. For taxonomy codes, a group practice is defined as a business entity under which one or more individuals practice. A group does not require multiple professional providers. A single provider group is a valid group and would be identified by the business entity name.
For example, John Doe, PC. For single specialty groups, the taxonomy code is X. For multispecialty groups, the taxonomy code is X. You must notify the enumerator of any changes within 30 days of the change. Most changes will not change your NPI number. Only rare circumstances such as fraudulent use of your NPI number will require that you be issued a new number.
You can change the information in your NPI file online. You may either create a user ID or, if you have one already, log in and update your information. Download the form to make your change by mail. Like UPIN numbers that were used prior to the establishment of the NPI, other physicians and providers to whom you refer will need your NPI number in order to submit claims for services for patients you refer to them.
If another party does billing on your behalf, that party will need your NPI. You may also need NPI numbers from hospice and home health agencies and other physicians in order to bill for your services. Read More. What is the National Provider Identifier? Will my NPI information be available to others? Sole Proprietorships If you practice as a sole proprietorship, you must apply as a type I individual.
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