Network Relations

NPI- National Provider ID

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) has mandated that all providers including individual practitioners and organizations that process electronic information apply for a unique national provider identifier (NPI). This identifier is a 10-position numeric number. NPIs will be assigned to providers for life, with few exceptions. According to CMS (Medicare) the goal of the NPI is to simplify the administration of certain health care information and improve the efficiency and effectiveness of standard transactions. The NPI replaces all health plan provider IDs.

National Plan and Provider Enumeration System (NPPES)

If a provider needs to apply for an NPI they may do so at https://nppes.cms.hhs.gov/NPPES/Welcome.do. This will take about 15-20 minutes. You will need your Medicare and Medicaid numbers to enter as a cross reference for identification. You will receive a tracking number upon submission of your information and your NPI within 2-5 business days. Please forward the e-mail you receive from NPPES to Julie Manganiello at jmangani@bidmc.harvard.edu for your BIDCO file.

If you have applied for your NPI, please complete the BIDCO Release form, so we may share your NPI number with the insurance companies, and forward a copy of your confirmation letter or e-mail to:

Beth Israel Deaconess Care Organization
Attn: Enrollment/ Credentialing Administrator
One University Avenue, North Entrance
Westwood, MA 02090

All providers should update the NPPES website whenever they experience a demographic change or have other information that requires updating.

NPI Registry

NPPES offers a Registry containing a look up feature whereby any provider's NPI can be obtained by entering minimal information. Visit the NPPES website at https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do to utilize this feature.

Please see the below notice sent by CMS on Maintaining, Viewing, and Updating NPI Information

Maintaining NPPES Account Information for Safety and Accessibility

Health care providers, including physicians and non-physician practitioners, should maintain their own NPPES account information (i.e., User ID, Password, and Secret Question/Answer) for safety and accessibility purposes.

Viewing NPPES Information

Health care providers, including physicians and non-physician practitioners, can view their NPPES information in one of two ways:

(1) By accessing the NPPES record at https://nppes.cms.hhs.gov/NPPES/Welcome.do and following the NPI hyperlink and selecting Login. The user will be prompted to enter the User ID and password that he/she previously created. *

* If the health care provider has forgotten the password, enter the User ID and click the “Reset Forgotten Password” button to navigate to the Reset Password Page. If the health care provider enters an incorrect User ID and Password combination three times, the User ID will be disabled. Please contact the NPI Enumerator at 1-800-465-3203 if the account is disabled or if the health care provider has forgotten the User ID.

OR

(2) By accessing the NPI Registry at https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do. The NPI Registry gives the health care provider an online view of Freedom of Information Act (FOIA)-disclosable NPPES data. The health care provider can search for its information using the name or NPI as the criterion.

Updating NPPES Information

Health care providers, including physicians and non-physician practitioners, can correct, add, or delete information in their NPPES records by accessing their NPPES records at https://nppes.cms.hhs.gov/NPPES/Welcome.do and following the NPI hyperlink and selecting Login. The user will be prompted to enter the User ID and password that he/she previously created.

Please note: Required information cannot be deleted from an NPPES record; however, required information can be changed/updated to ensure that NPPES captures the correct information. Certain information is inaccessible via the web, thus requiring the change/update to be made via paper application. The paper NPI Application/Update Form can be downloaded and printed at http://www.cms.hhs.gov/cmsforms/downloads/CMS10114.pdf.