N
Compliance

NPI (National Provider Identifier): National Provider Identifier

Definition
A unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).

Overview

Why it Matters

You cannot submit a HIPAA-compliant claim without an NPI.

How it Works

You apply via NPPES. The number stays with the provider for life.

Code Comparison

Comparison: NPI vs. Tax ID (EIN)

EIN: Identifies the business to the IRS (Tax).

NPI: Identifies the provider to the Healthcare System (Billing).

Common Questions

  • One NPI for Multiple Fleets: If you have fleets in different states, using one NPI can cause claims to hit the wrong Medicaid state agency.
  • Get a "Type 2" (Organizational) NPI, not a "Type 1" (Individual) NPI for your business.

Sources

NPPES - NPI Registry