National Provider Identifier (NPI): Important Facts About NPI
- Adopted as part of the Health Insurance Portability and Accountability of Act of 1996 to assign a standard, unique identifier for health care providers.
- NPI is a 10 digit character that does not include personal identifying information such as specialty designation, state of employment or any other personal identifiers.
- NPI will replace other assigned provider identifiers such as the UPIN, PIN or any other provider identification numbers that may have been assigned by an insurance plan.
- A provider’s NPI is permanently assigned and will never change regardless of job or location changes.
- An NPI is used to report the provider of service on a health claim form as well as the referring or ordering provider for certain services such as diagnostic tests or consultations.
- NPI numbers are federally mandated to be shared between provider organizations that have a need to report a provider’s NPI on health claim forms. Examples of such provider organizations include diagnostic testing facilities or physician practices that accept referrals from physicians outside of their respective groups.
- Full implementation with respect to reporting an NPI on all health insurance claim forms is expected by May 23, 2008.
- Any Brody School of Medicine clinical staff or employees who may be contacted by outside organizations requesting a Brody provider NPI are asked to direct those requests to the Managed Care Department of Clinical Financial Services.