A covered health care provider, under HIPAA, is any health care provider who transmits health information in electronic form in connection with a transaction for which the Secretary of Health and Human Services has adopted a standard, even if the health care provider uses a business associate to do so. The NPI will be used by HIPAA-covered entities (e.g., health plans, health care clearinghouses, and certain health care providers) to identify health care providers in HIPAA standard transactions. Who must obtain NPI? : All health care providers who are HIPAA-covered entities, whether they are individuals (e.g., physicians, nurses, dentists, chiropractors, physical therapists, or pharmacists) or organizations (e.g., hospitals, home health agencies, clinics, nursing homes, residential treatment centers, laboratories, ambulance companies, group practices, Health Maintenance Organizations, suppliers of durable medical equipment, pharmacies) must obtain an NPI. Organization health care providers (e.g., hospitals, home health agencies, ambulance companies) are considered Entity Type 2 (Organization) providers. Sole proprietors and sole proprietorships are Entity Type 1 (Individual) providers. Entity Type 1 providers are individual providers who render health care (e.g., physicians, dentists, nurses). There are two categories of health care providers for NPI enumeration purposes. Bao Nguyen Big Journeys Begin with Small Steps. luisi torres Editor-in-Chief Gaithersburg, MD. Where NPI should be used? : The NPI must be used in place of legacy provider identifiers, such as a Unique Provider Identification Number (UPIN), Online Survey Certification & Reporting (OSCAR) and National Supplier Clearinghouse (NSC) in HIPAA standard transactions. Administrative Assistant at MindView Behavioral Health and Wellness Rockville, MD. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act). (240) 713-6140 Office is near: Silver Spring, Maryland 20903 View MindView Behavioral Health and Wellness Psychiatric Nurse Practitioner 'Mindview Behavioral Health and Wellness is a psychiatric. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). ![]() What is a NPI Number? : The National Provider Identifier (NPI) is a unique identification number for covered health care providers.
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