National Provider Identifier (NPI)

The Health Insurance Portability and Accountability Act (HIPAA) of 1996 requires the adoption of a standard unique identifier for healthcare providers. The HIPAA final rule adopted the National Provider Identifier (NPI) as this standard. The NPI is a 10-digit numeric identifier that does not carry information about healthcare providers, such as specialty or location of practice.

Primary PhysicianCare, Inc. will continue to use the Provider Tax Identification Number (TIN) for provider identification. The NPI will also be used as an identifier, but current TIN-based provider identification and matching will be maintained.

Note: A sole proprietor/sole proprietorship is an individual and is eligible for a single NPI.  For more information about NPI, view the CMS NPI Fact Sheet.

Do you need to register for the NPI?  Visit the NPPES website to register.

Primary PhysicianCare claims system will maintain and match HIPAA transactions using providers’ NPIs, so please submit a listing of NPIs for providers in your office, as well as for your organization.

By fax:

Attn: Provider Relations
704-561-3304

By email:

providers@primarypc.com