Getting and Reporting an NPI

The process for getting a National Provider Identifier (NPI) is a two-step process: You must request the NPI, then report it to the Indiana Health Coverage Programs (IHCP).

Getting your NPI

The National Plan and Provider Enumerator System (NPPES) assigns NPIs. To get an NPI, providers may apply at the NPPES website or download the paper form, complete it, and submit it to NPPES.

Providers should apply NOW to receive their NPIs 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 NPIs to the IHCP using the online NPI Reporting Tool or by submitting the paper NPI Reporting Form.

Health Insurance Portability and Accountability Act (HIPAA)-covered entities, such as healthcare providers that conduct HIPAA standard transactions, healthcare clearinghouses, and all health plans, must use ONLY the NPI to identify HIPAA-covered healthcare 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.