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The NPI is the health care provider identification system adopted by the U.S. Department of Health and Human Services as part of the implementation of the Health Insurance Portability and Accountability Act (HIPAA). All health care providers that are considered covered entities under HIPAA, and those who file claims electronically or use a clearinghouse to bill insurance, are required to apply for an NPI. All other health care providers are eligible to receive an NPI if they desire.
The NPI will eliminate the need for health care providers to use different identification numbers when conducting business with multiple health plans. Many health plans, including Medicare, Medicaid, and private health insurance plans, and all health care clearinghouses are now required to accept and use NPIs.
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