The National Provider Identifier (NPI) is an Administrative Requirement for the Health Insurance Portability and Accountability Act (HIPAA). For covered health care facilities, an NPI is a unique identification number created to increase the quality and efficacy of electronic transmission of health information. For covered health care facilities, the NPI is a unique identification number. In the administrative and financial transactions implemented under HIPAA, covered health care services and all health programs and health care clearinghouses must use the NPIs. As outlined in the 1996 Health Insurance Portability and Transparency Act (HIPAA) Federal Law, covered insurers must also share their NPI with other providers, health plans, clearinghouses, and any agency that may need it for billing purposes.
Is NPI number of public information?
The NPI is an intelligence-free, 10-digit number. This means that the numbers do not hold other information of the healthcare provider such as the state in which they live or their medical specialty. The NPI must be used in HIPAA standards transactions in place of legacy provider identifiers.
NPIs are not confidential. Your NPI is publicly available on the National Plan and Provider Enumeration System (NPPES). Also, your NPI is in EHRs accessible by rogue employees and possible cyber attacks.
NPI Lookup – NPI Number Lookup for doctors & medical groups
The NPI Number (National Provider Identifier) is the only identifier for health care services that can be used by covered organizations for authentication purposes in standard transactions. The Health Insurance Portability and Accountability Act (HIPAA) mandates that NPI numbers in regular transactions be used by covered organizations. To find out any NPI number you should visit a trusted trustable NPI lookup website. You can search the NPI Registry by:
- NPI Number
- First & Last Name
- Group Name
Trustable NPI lookup websites help you search the full NPI database by NPI Number, Doctor Name, Organization Name, Address, City, State, ZIP code, Taxonomy Code, Specialization or Provider Type.
Can’t find what you’re looking for?
The NPI registry is regularly updated, but not in real-time. “Names with numerous variations are also spelled, such as “Leslie” vs “Lesly” vs “Lesley” and “Smith” vs “Smythe”. You can try looking for similar names that, regardless of the spelling, can help you find the right provider.
No responses yet