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- NPI Submission Form Organizational Provider ... - ValueOptions
Get NPI Submission Form Organizational Provider ... - ValueOptions
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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Applicable FAQ
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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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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.
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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.
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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.
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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).
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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.
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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.
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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.
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