Getting and Reporting an NPI
The process for getting and NPI is a two-step process: you must
request the NPI then repot it to the IHCP.
Getting your NPI
The National Plan and Provider
Enumerator System (NPPES) assigns NPIs. To get an NPI,
providers may apply at the NPPES Web site or by downloading the
paper form, completing it, and submitting it to NPPES.
Providers should apply NOW to receive their NPI
if they have not already done so.
To apply for an NPI, providers must supply information such as
the provider's business name and address, date of birth, Social
Security number, or employer tax ID.
Providers are asked to choose "taxonomy codes" that describe
their provider type and specialty and supply associated license
numbers as part of the enumeration process.
After getting an NPI, you must report it to the
IHCP.
Reporting your NPI
Providers should report their NPI to the IHCP using the online
NPI Reporting Tool or by submitting
the paper NPI Reporting Form.
HIPAA covered entities such as health care providers who conduct
HIPAA standard transactions, health care clearinghouses, and all
health plans must use ONLY the NPI to identify HIPAA covered health
care providers in standard transactions by May 23, 2008. A
healthcare provider's claims submitted without an NPI on or after
May 23, 2008, will be rejected.