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NPI Resource Center

Effective May 23, 2008, the Centers for Medicare & Medicaid Services (CMS) now requires full compliance with national provider identifier (NPI) regulations. The National Provider Identifier (NPI) replaces the multiple identifiers formerly used.

With the NPI requirement now in effect, it is important to have the facts. View the following links to learn more. Join the coding and billing community for additional NPI updates and concerns. 

TMA Database

• TMA NPI Look-up Tool  
• Learn How to Use the NPI Look-up Tool by Viewing the Tutorial Video
• Add your NPI to the TMA database 

Federal Info Sharing - Optional Data

• AMA Memo - CMS' Plans to Release Data (PDF) - 6/29/2007 
• CMS to Begin Disseminating Physician Information Sept. 4, 2007 
• Important AMA Memo - Physicians Can Delete Optional Info from NPI Records (PDF) 
• Information for Providers — NPPES Data Elements that may be disclosed to the public (PDF)
• Optional Data Elements of NPI Applications - delete your optional data before its released!   
• Step-by-step instructions to delete optional data from NPI applications

NPI General Info

• TrailBlazer Develops NPI Training Tool (Action, Aug. 1, 2008) New
• TMA, H-E-B OK NPI Deal (Action, June 16, 2008) 
• CMS NPI Overview  New
• Important Information for Medicare FFS Providers from CMS  New
• National Uniform Claim Committee (NUCC) letter to CMS  (PDF)  New
• National Uniform Billing Committee (NUBC) letter to CMS  (PDF)  New
• NPI Billing Tips - TrailBlazer link (PDF)  New
• TrailBlazer's NPI page  New
• Medicare Policy on Subpart Designation   - Trailblazer link
• Reporting an NPI for Ordering/Referring and Attending/Operating/Other/Service Facility for Medicare – CMS CR 5890  - Trailblazer link
• NPI – March 1 Milestone  - Trailblazer link
• NPI Tips for Success  (PDF) - Trailblazer link
• Correct Way to List a Railroad Retirement Number in NPPES  - Trailblazer link
• New NPI Correction and Inquiry E-Mail Address  - Trailblazer link
• Full NPI Compliance Required in March 
• Medicare Claims Require NPI 
• NPI Registry (link) Goes Online - The link to the NPI Repository on the NPPES site
• NPI Compliance 
• NPI How To - Trailblazer tool 
• CMS Enforcement Delay No Excuse for No NPI
• National Plan and Provider Enumeration System (NPPES)
• National Provider Identifier Standard - Link to an NPI overview and resources on the CMS Web site.
• Take a Number: NPI is Now Required for All Electronic Transactions - Texas Medicine Article (January 2007)
• NPI Announcements - Link to the Texas Medicaid & Healthcare Partnership (TMHP) Web page for NPI announcements.
• NPI Application/Update Form (CMS-10114, 05-07) (PDF)
• Obtain NPIs for Harris County Hospitals 

NPI Implementation

• Health Plan NPI Implementation Table - Link to the TMA Reimbursement Community page for a table of implementation instructions by health plan.
• NPI Implementation Phases - Link to a TMA article that explains the phases of NPI implementation.

FAQs

• Frequently Asked Questions: NPI  - Link to the FAQ list on the CMS Web site.
• Frequently Asked Questions: NPI Data Dissemination

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Last Published: 8/10/2009