Organizational NPI #- When Do I Need One?

Let’s discuss the different NPI #’s and when each one is appliable.

An NPI (National Provider Identifier) is granted via the NPPES website (National Plan & Provider Enumeration Systems, Link: https://nppes.cms.hhs.gov/#/) to healthcare providers, and typically to the healthcare practice as well. This identifier remains with the provider or practice for the duration of their practice. Now, let’s delve into the variances:

• Type 1 NPI #: Frequently referred to as an “Individual NPI #”, this is assigned to the healthcare provider’s Name and SSN.
• Type 2 NPI #: Commonly referred to as a Group NPI # or Organizational NPI #, this is provided to the healthcare practice’s Business Name and Tax ID#. The assignment of a Type 2 NPI# is unrelated to the number of providers working for the practice. For instance, a sole proprietor of a private practice, for whom the IRS has issued a Tax ID# to the business name, would be eligible to acquire a Type 2 NPI #.

If you’re a new practice or new to the NPPES website, acquiring a Group NPI# might present challenges. Fortunately, Rush Credentialing is here to assist you, offering step-by-step instructions on obtaining it.

To obtain an Organizational NPI#, please use link: https://nppes.cms.hhs.gov/#/.

• Using Internet Explorer, please login using your existing username and password. In the upper right corner, you will see an icon to click stating “Apply for an NPI# for an Organization”. Click this.
• In the new window that appears, you will need to click the option indicating “I am an Employee of the Provider”.
• Step 1: Add Tax ID# and Business name, and authorized official of account. Click Next
• Step 2: Add mailing address and location address. Click next
• Step 3 & 4: Optional, do not complete, just click Next.
• Step 4: Taxonomy code. Enter under Practice Types- Multispecialty… then enter provider Taxonomy code into space provided… then choose specialty from dropdown to the right. Click Save, then Click next.
• Step 6: add contact info. Click save, then next.
• Step 7: error check… if all green, proceed to step 8 by clicking Next
• Step 8: submit app. GNPI# will be issued in the following hour typically.