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 is 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
Revised 5/5/2021
Helpful Resources
Check Provider Enrollment Application Status
Log Into PECOS
Pay Application Fee
J6 Mailing Address:
National Government Services, Inc.
P.O. Box 6475
Indianapolis, IN 46206-6475
Interactive Voice Response:
877-908-9499
Contact Enrollment:
877-908-8476
Hours Available:
Monday–Friday
8:00 a.m.–4:00 p.m. CT
Form(s) you'll need:
Helpful Resources
Check Provider Enrollment Application Status
Log Into PECOS
Pay Application Fee
JK Mailing Address:
National Government Services, Inc.
P.O. Box 7149
Indianapolis, IN 46207-7149
Interactive Voice Response:
877-869-6504
Contact Enrollment:
888-379-3807
Hours Available:
Monday–Friday
8:00 a.m.–4:00 p.m. ET
Form(s) you'll need: