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For Our Providers | Providers and Practitioners | National Provider Identifier
The Health Insurance Portability and Accountability Act of 1996 mandated the adoption of standard unique identifiers for health care providers that are referred to as the National Provider Identifier (NPI).

The NPI is a unique 10-digit numeric identifier assigned to:

  1. Health care providers: physicians, dentists and pharmacists;


  2. Organizational health care providers: hospitals, pharmacies, group medical practices, laboratories, ambulatory care facilities and nursing homes; and


  3. Other covered entities under HIPAA, i.e. managed care organizations such as DC Chartered Health Plan, Inc.

The NPI will be a permanent identifier assigned for life. All providers using the NPI will simplify the administration of the health care system and encourage the electronic transmission of health care information.

By May 23, 2007 all health care providers who utilize HIPAA standard electronic transactions must use the NPI.

A health care provider can apply for the NPI in one of two ways:

  • Completing the application online at https://nppes.cms.hhs.gov/NPPES/Welcome.do: or


  • Call 1-800-465-3203 (NPI Toll Free), 1-800-692-2326 (NPI TTY) and obtain a copy of the NPI application/Update Form(CMS-10114) and mail the completed, signed application to:
            NPI Enumerator, P.O. Box 6059
            Fargo, ND 58108-6059
            E-mail: customerservice@npienumerator.com

NOTIFY US
Please send a copy of the NPI notification document that is generated by the National Plan & Provider Enumeration System (NPPES) to the Provider Relations Department via one of the following:

E-mail: Provider_Relations@chartered-health.com
Fax: (202) 408-1277
Mail: DC Chartered Health Plan, Inc.
         Provider Relations Department
         1025 15th Street, N.W.
         Washington, D.C. 20005

Click here for NPI Update sublink

 

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