Retrieved February 14, Retrieved from " https: Retrieved July 16, For instance, the DocGraph data set is a crowdfunded open data [8] set that details how healthcare providers collaborate to deliver care i. In addition, the NPI may be used in several other ways:. The NPI has replaced the unique physician identification number UPIN as the required identifier for Medicare services, and is used by other payers, including commercial healthcare insurers. 
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BetterDoctor :: NPPES / NPI data with GraphQL -
Other health industry workers who provide support services but not health care such as admissions and medical billing personnel, housekeeping staff and orderlies are not required to obtain an NPI. This page was last edited on 15 Septemberat As outlined in the federal regulation, The Health Insurance Portability and Accountability Act of HIPAAcovered providers must also share their NPI with other providers, health plans, clearinghouses, and any entity that may need it for billing purposes.
HIPAA—covered entities such as providers completing electronic transactions, healthcare clearinghouses, and large health plans were required by regulation to use only the NPI to identify covered healthcare providers by May 23, Individual HIPAA—covered healthcare providers include physicianspharmacistsphysician assistantsmidwivesnurse practitionersnurse anesthetistsdentistsdenturistslicensed opticians, optometristschiropractorsclinical social workersprofessional counselorsphysical therapistsoccupational therapistspharmacy technicians and athletic trainers.
In addition, the NPI may be used in several other ways:. Once assigned, a provider's NPI is permanent and remains with the provider nppee of job or location changes.
Retrieved July 16, Open dtaabase doctor data". The NPI has replaced the unique physician identification number UPIN as the required identifier for Medicare services, and is used by other payers, including commercial healthcare insurers.
A data structure file is available separately from CMS.
By using this site, you agree to the Terms of Use and Privacy Policy. The posted guidance document can be used by covered entities to design and implement a contingency plan. Views Read Edit View history.
NPPES / NPI data with GraphQL - NPIQL.com
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. Retrieved from " https: Retrieved February 14, The downloadable database was updated monthly until Decemberand has been issued weekly since.
For instance, the DocGraph data set is a crowdfunded open data [8] set that details how healthcare providers collaborate to databasse care i.
Retrieved August 15, CMS subsequently announced that as of May 23,CMS will not impose penalties on covered entities that deploy contingency plans to facilitate the compliance of their trading partners e. The NPI is a data key that identifies a substantial portion of healthcare providers and other entities in the US, it is a frequently used data key in other data sources.
Ten-digit NPI numbers may be validated using the Luhn algorithm by prefixing "" to the digit number.
Organizations include hospitalshome health care agenciesnursing homesresidential treatment centersgroup practices, laboratoriespharmacies and medical equipment companies. The NPI is a position, intelligence-free numeric identifier digit number.
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