![]() If you think you may have a medical emergency, please call your doctor or 911 immediately. Reliance on any information provided by the NPI Profile website or other visitors to this website is solely at your own risk. The contents of the NPI Profile website are for informational purposes only. NPI records are maintained by the National Plan & Provider Enumeration System. The NPI information is provided "as-is" per the NPPES Data Dissemination Notice covering disclosable health care provider data under the Freedom of Information Act (FOIA) and in accordance with the e-FOIA amendments.Īll contents of this website are provided on an "as is" and "as available" basis without warranty of any kind. NPI Profile is designed to quickly and easily find the most current NPI records in the National Provider Identifier registry. NPI Profile is the most comprehensive reference website about the NPI registry and NPI related information. NPI Profile 2023 | The complete repository of NPI information Use our free PECOS Lookup tool to find healthcare providers currently enrolled in PECOS and use our CLIA Lookup for a CLIA NPI crosswalk. NPI Profile knowledge graph includes PECOS and CLIA information. Now with up to 400 search results per queryįor more granular results use our Advanced NPI Number Lookup.NPI search results are available for download in CSV format by clicking the "Download " button at the end of the results table. The search results are sortable and filterable, and include the NPI number, physician or organization name, taxonomy code, specialization, business address, and Medicare's PECOS enrollment information, which is not included in the NPI information but is part of our knowledge graph. ![]() Our NPI tool returns healthcare provider information based on full, partial search terms and or a combination of multiple terms. You do not need to use a taxonomy code for billing unless you have been instructed to do so by the MassHealth Customer Service Provider Enrollment Unit.The National Provider Identifier - NPI - database contains more than 7.43 million records and is easily accessible with our Google-like free form search tool. As some prov i ders may h ave one N PI t h at correspo nd s to multiple service locations, and therefore multiple MMIS provider numbers, Mas s Health may require a taxonomy code for claims submission. Ma ss He a l th processes claims by map pin g the NP I sub m itt e d on a c l aim to the MMIS p r ov i de r number. Claims billed without a billing provider’s NPI will be denied. The NPI Number for American Outcomes Management, L. P roviders who bill MassHealth a r e requ i red to subm i t NPIs o n all of their claims. Hipaaspace NpiUse HIPAASpace NPI Lookup and provide us feedback. The provider’s PID/SL w ill be displayed o n MassHealth reports as well as correspondence and remittance advices. The provider’s NPI will not change and will remain with the provider regardless of job or location changes. This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. Thi s PID/SL is 10 c h aracters, m ade up of a 9 - digi t base n u mber and a n al pha se r vice locatio n (e.g. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). Each provide r 's NPI is associated in MassHealth’s Medicaid Management Information System (MMIS) w ith a co rr es ponding MassHealth provider I D and serv i ce l oca tion (PID/SL).
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