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Portability and Accountability Act (HIPAA). In addition, federal regulations at 42 CFR 431.107(b)(5) require that all providers eligible for an NPI number furnish it to MassHealth and include it on all claims. If you are eligible for an NPI number, failure to provide it may result in a delay in processing your application. Please list your name, address, Tax ID, and NPI number applicable to this enrollment. SECTION 11. NATIONAL PROVIDER IDENTIFIER Provider s legal name Street address line 1.

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National Provider Identifier (NPI) | Mass.gov
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The easiest way to check if the NPI itself is a potential valid NPI number is to perform a Luhn check, which is similar to a check to validate a credit card number.

However, the primary reason for NPI deactivation was that the provider was deceased. Many billing systems store NPI numbers, allowing a biller to inadvertently enter or select a provider who is no longer alive and associated with a group, hospital, clinic, etc.

What are the Health Care Provider NPI Categories? Two categories of health care providers exist for NPI enumeration purposes: Entity Type 1 (Individual) and Entity Type 2 (Organization). Individual health care providers may get NPIs as Entity Type 1.

This booklet teaches providers about the National Provider Identifier (NPI), who must get an NPI, and how to apply.

To obtain your National Provider Identifier, go to http://nppes.cms.hhs.gov/ or call customer service at 800.465. 3203. Questions about the status of an NPI application may be emailed to customerservice@NPIEnumerator.com.

If the NPI is used as a component of the card issuer identifier on a standard health care identification card, the NPI will be prefixed with the 5 digit identifier "80840". The initial two digits, "80", indicates health applications. The last three digits, "840", represents the United States.

Your NPI is yours for life and will never expire or be recycled and assigned to a different health care provider.

Medical assistants do not have National Provider Identifier (NPI) numbers because they are not reimbursed directly by Medicare for their services. Rather, their services may only be billed and reimbursed incident to the services of the delegating provider.

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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