NPI is now available on the Texmed
The new NPI Look-up Tool is now live on the TMA Web site. You
can check it out
You will need your TMA log-information to access the NPI. There
is a feature by which members can designate up to three of their
staff members to access the NPI database. There is also a cool
little tutorial video, which you can access from the links on the
bottom of the Look-up Tool page.
The NPI is here. The NPI is now. Are you
Transcript Now Available for August
2nd FFS Medicare Q&A Roundtable- Click Medicare
Implementation in the column to the left side of this screen for
Dissemination of Data from the National Plan and
Provider Enumeration System (NPPES) to Begin September 4, 2007-
Click Data Dissemination in the column to the left side of this
screen for more information.
The National Provider Identifier (NPI) is a Health Insurance
Portability and Accountability Act (HIPAA) Administrative
Simplification Standard. The NPI is a unique identification
number for covered health care providers. Covered health care
providers and all health plans and health care clearinghouses will
use the NPIs in the administrative and financial transactions
adopted under HIPAA. The NPI is a 10-position,
intelligence-free numeric identifier (10-digit number). 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. Beginning May 23, 2007 (May 23, 2008, for small health
plans), the NPI must be used in lieu of legacy provider identifiers
in the HIPAA standards transactions. Covered entities may
invoke contingency plans after May 23, 2007, and guidance about
contingency plans may be found in the Downloads section below.
If you are a health care provider who bills for services, you
probably need an NPI. If you bill Medicare for services, you
definitely need an NPI! Getting an NPI is easy. Getting an NPI is
free. The first step is to get your NPI. If you delay
applying for your NPI, you risk your cash flow and that of your
health care partners as well.
As outlined in the Federal Regulation, The Health Insurance
Portability and Accountability Act of 1996 (HIPAA), covered
providers must also share their NPI with other providers, health
plans, clearinghouses, and any entity that may need it for billing
More detailed information is available on the pages
listed in the left hand column of this page.
Getting an NPI is free - Not Having One Can Be
NPI Frequently Asked Questions (FAQs)
NPI FAQs are posted on the CMS website and continue to be
updated as new information is available. To view these FAQs,
see the "Related Links Inside CMS" section below. To find the
latest FAQs, click on the arrows next to "Date Updated".
NPI Question Resource Sheet
Many NPI questions that providers and their staff may have can
be answered by the resources provided here on the CMS NPI page. The
"NPI Question Resource Sheet" points to specific resources that can
help answer common questions (see Downloads below)
Please note that CMS cannot respond individually to
every question submitted as feedback via the website.
However, be assured that we are reviewing all questions to
determine if new educational products or "Frequently Asked
Questions (FAQs)" are needed or if revisions to existing products
or FAQs are warranted.