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  • Npi Submission Form Organizational Provider ... - Valueoptions

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Submission 3. Deactivation of NPI No. 1. Change of Information (See instructions) REASON (check one of the following) 2. Death Business Dissolved Other NPI No. SECTION 2 ORGANIZATIONS AND GROUPS 1. Name (Legal Business Name) 2. Type of Other Name Former Legal Business Name D/B/A Name Other (Describe) SECTION 3 ADDRESS AND OTHER INFORMATION 1. Mailing Address Line 1 (Street Number and Name or P.O. Box) 2. Mailing Address L.

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How do I apply for an NPI? ¶ Follow the steps to complete your I&A Registration. Once you have successfully obtained an I&A User ID, you may return to the NPPES Home page and log into the NPPES website with your newly created I&A User ID. Select the Submit a New NPI Application to begin the NPI application process.

If the owner of the group already has an individual NPI, use your Individual user id and password to create a Group NPI. If you do not have your individual user id and password you will have to call the NPI Registry at 1-800-465-3203 to get the information, they will only give this to the registered provider.

What are NPI Subparts? Subparts are components of a health care provider that is an organization (i.e., entity type 2), which may function independently of the organization as individual health care providers (i.e., entity type 1).

The National Provider Identifier (NPI) of the organization or group practice. On an institutional claim, this is the NPI number assigned to uniquely identify the institutional provider certified by Medicare to provide services to the beneficiary.

There are two types of NPIs: Type 1, for individual health care providers, such as dentists and hygienists, and Type 2 for incorporated businesses, such as group practices and clinics.

Type 2 — Health care providers who are organizations, including physician groups, hospitals, nursing homes, and the corporation formed when an individual incorporates him/herself. Organizations must determine if they have “subparts” that need to be uniquely identified in HIPAA standard transactions with their own NPIs.

What is the difference between a Group NPI and an Individual NPI? Individual NPI's are obtained by all providers rendering services to patients. This NPI is unique to them and will stay with them for their career regardless of what Agency they are employed with. Group NPI's are obtained for all Agencies with a Tax ID.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232