- Description of NPI and a Link to NPPES Registry
- State License and Registrations for Certified Providers and Suppliers
- Eligible Institutional Providers
- Eligible Part B Physicians and Nonphysicians to Enroll as Ordering and Referring Only
- Eligible Method II Providers
- Certified Provider and State Survey Agency
- Understanding the Approval Recommendation Process for Certified Providers
- Accreditation of Advanced Diagnostic Imaging and FDA Mammography Equipment
- Understanding Authorized Official and Delegated Official Roles
Description of NPI and a Link to NPPES Registry
As mandated by HIPAA, you should maintain (verify and update) your NPI data via NPPES on a regular basis.
The NPI:
- is a ten-digit number and must be submitted on the enrollment form,
- will remain with an individual provider regardless of job and location changes and
- is submitted to the contractor for payment.
There are two types of NPIs:
- Type 1 NPIs—assigned to individual physicians or nonphysician practitioners as well as sole proprietors
- Type 2 NPIs—assigned to organizations, including physician and nonphysician groups, hospitals, nursing homes and corporation formed when an individual incorporates as a sole owner
If you need to verify or make updates to your NPI, visit NPPES website.
If you need help logging into NPPES, contact NPI Enumerator at 800-465-3203 (TTY 800-692-2326).
Important Note: It’s vital that any time you are asked to supply your LBN or legal name, you indicate the name exactly as it appears at the IRS or the SSA office. For groups this includes any suffix like PC, PA, LLC, PLLC, Inc., etc.
Related Content
- MLN® Booklet NPI: What You Need to Know
Posted 8/24/2022
Helpful Resources
Check Provider Enrollment Application Status
Log Into PECOS
J6 Mailing Address:
National Government Services, Inc.
P.O. Box 6474
Indianapolis, IN 46206-6474
Contact Enrollment:
855-834-5596
Hours Available:
Monday–Friday
8:00 a.m.–4:00 p.m. CT
9:00 a.m.–5:00 p.m. ET
*Closed for training on the 2nd and 4th Friday of the month
12:00 p.m.-4:00 p.m. ET
11:00 a.m.-3:00 p.m. CT
Form(s) you'll need:
CMS-855A - Medicare Enrollment Application form for Institutional Providers
CMS-588 - Electronic Funds Transfer (EFT) Authorization Agreement form
Helpful Resources
Check Provider Enrollment Application Status
Log Into PECOS
JK Mailing Address:
National Government Services, Inc.
P.O. Box 7149
Indianapolis, IN 46206-7149
Contact Enrollment:
855-593-8047
Hours Available:
Monday–Friday
8:00 a.m.–4:00 p.m. ET
*Closed for training on the 2nd and 4th Friday of the month
12:00 p.m.-4:00 p.m. ET
Form(s) you'll need:
CMS-855A - Medicare Enrollment Application form for Institutional Providers
CMS-588 - Electronic Funds Transfer (EFT) Authorization Agreement form