Monday, August 13, 2007

NPI Registry

For those who are still trying to figure out how to get NPI numbers for referring providers Medicare is working on a solution which should be available around September 4th 2007.

NPPES National Plan and Provider Enumeration System is taking these next couple of months to ensure that all providers information is correct prior to placing it on the web. If you are a medical health care provider you will need to submit any possible edits by Monday, August 20, 2007.

This following outline was taken from Medicare's Data Dissemination files:
Health care medical providers can refer to, "Information on FOIA-Disclosable Data Elements in NPPES," dated June 20, 2007 ( ) for assistance in making their edits. Some of the key data elements that are FOIA-Disclosable are:

Entity Type Code (1-Individual or 2-Organization)
Replacement NPI
Provider Name (First Name, Middle Name, Last Name, Prefix, Suffix, Credential(s), OR the Legal Business Name for Organizations)
Provider Other Name (First Name, Middle Name, Last Name, OR 'Doing Business As' Name, Former Legal Business Name, Other Name. for Organizations)
Provider Business Mailing Address (First line address, Second line address, City, State, Postal Code, and Country Code if outside U.S., Telephone Number, Fax Number)
Provider Business Location Address (First line address, Second line address, City, State, Postal Code, and Country Code if outside U.S., Telephone Number, Fax Number)
Healthcare Provider Taxonomy Code(s)
Other Provider Identifier(s)
Other Provider Identifier Type Code
Provider Enumeration Date
Last Update Date
NPI Deactivation Reason Code
NPI Deactivation Date
NPI Reactivation Date
Provider Gender Code
Provider License Number
Provider License Number State Code
Authorized Official Contact Information (First Name, Middle Name, Last Name, Title or Position, Telephone Number)

This will be a free web-site with no registration required. It will act the same way as the UPIN Registry currenly works.

To read more about Medicare updates including
Billing Health Insurance Information check out Medicare Medical Coding and Billing Courses

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