applying for npi group number
On the CMS-1500 form, insert the main or billing Type 2 NPI number in Box 33a. Insert the service facility Type 2 NPI (if different from main or billing NPI) in Box 32a. Insert Type 1 NPIs for rendering providers in Box 24J. On the UB-04 form, insert the main Type 2 NPI number in Box 56; insert Type 1 NPIs for rendering providers in boxes 78 – 79. Q: Does my NPI replace my Taxpayer Identification Number (TIN)? A: No. Your NPI does not replace your TIN. TINs continue to be required on all claims – paper and electronic. The NPI is for identification purposes, while the TIN is for tax purposes. Important – claims that do not include a TIN will be rejected. You may authorize an organization, such as a professional association or a health care. provider who is your employer, to submit an application for an NPI on your behalf in a. process called an electronic file interchange (EFI); the electronic file interchange. PENALTIES FOR FALSIFYING INFORMATION ON THE. NATIONAL PROVIDER IDENTIFIER (NPI) APPLICATION/UPDATE FORM. 18 U.S.C. 1001 authorizes criminal penalties against an individual who in any matter within the jurisdiction of any. department or agency of the United States knowingly and willfully falsifies, conceals or covers up by any trick, If you are a sole proprietor wishing to incorporate your practice as an organization, you will need to complete the following steps (after you have taken the legal steps to create your organization): 1  Obtain a Type 2 NPI Organizational NPI – Apply online by going to the National Plan and Provider Enumeration System (NPPES) website . Request a new Provider Record ID packet from Blue Cross and Blue Shield of Texas (BCBSTX). You will need to notify BCBSTX once you have received your new Type 2 NPI from NPPES. Visit our provider website and click Network Participation, How to Join and then click Request a BCBSTX Provider Record ID. Complete the Group Provider Record ID Information Form Packet. A copy. of the application form, which includes the Enumerator’s mailing address, will be. available only upon request through the NPI Enumerator. The Enumerator’s phone. number is (800) 465-3203 or TTY (800) 692-2326.  With the permission of the health care provider, an organization may submit a health. ANSWER: The NPI is a unique identification number for health care providers that will. be used by all health plans in all standard transactions. The NPI is all numeric and is 10. positions in length: the first nine positions are the identifier and the last position is a. check digit. This application is to be completed by, or on behalf of, a health care provider or a subpart seeking to obtain an NPI. 162.410 (a) (1). This section is to identify the reason for submittal of this form and the type of entity seeking to obtain an NPI. You may apply for an NPI through the NPPES as early as May 23, 2005. their NPIs by May 23, 2007. 2007, we encourage you to apply early so that you can test your systems. permanent identifier, assigned for life unless circumstances justify deactivation (e.g., fraud). The CMS-1500 form has been revised to include a place to refer to the servicing. provider's NPI on one line, and the billing provider's NPI in Box 33. Therefore, both the individual. provider number and the group number will appear on the same claims.
(800) 465-3203, (800) 692-2326.