Get the free Asuris National Provider Identifier (NPI) Type 2 Registration Form

Get Form

Show details

This document is used to register Type 2 (entity-level) NPI with Asuris, enabling organizations to provide complete contact information and details about their services and corresponding provider

We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign asuris national provider identifier

Edit your asuris national provider identifier form online

Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature

Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly

Email, fax, or share your asuris national provider identifier form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit asuris national provider identifier online

Ease of Setup

pdfFiller User Ratings on G2

Ease of Use

pdfFiller User Ratings on G2

Here are the steps you need to follow to get started with our professional PDF editor:

1

Check your account. If you don't have a profile yet, click Start Free Trial and sign up for one.

2

Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.

3

Edit asuris national provider identifier. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.

4

Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.

With pdfFiller, it's always easy to work with documents.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.

Learn more about security & compliance

How to fill out asuris national provider identifier

How to fill out Asuris National Provider Identifier (NPI) Type 2 Registration Form

01

Obtain the NPI Type 2 Registration Form from the Asuris website or request it directly from the organization.

02

Begin by filling out the Provider Information section, including your legal name and any business name you may use.

03

Provide your contact information, including address, phone number, and email address.

04

Fill in your tax identification information, including your Social Security Number (if applicable) or Employer Identification Number (EIN).

05

Indicate the type of healthcare provider you are, such as a group practice or organization.

06

Complete the section on practice locations, including addresses and types of services offered.

07

Confirm any additional required information specific to Asuris, which may include licensing details or board certifications.

08

Review the form for accuracy, making sure all information is complete and correct.

09

Submit the form either online or through the provided mailing address, depending on Asuris's submission guidelines.

10

Keep a copy of the completed form for your records and follow up as needed for confirmation of registration.

Who needs Asuris National Provider Identifier (NPI) Type 2 Registration Form?

01

Healthcare providers who operate as organizations or group practices.

02

Medical facilities that are billing under a group NPI.

03

Individuals providing healthcare services under a business entity.

04

Any provider who is required to obtain a Type 2 NPI for billing purposes.

Fill form : Try Risk Free

Rate the form

4.6

Satisfied

64 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

What is Asuris National Provider Identifier (NPI) Type 2 Registration Form?

The Asuris National Provider Identifier (NPI) Type 2 Registration Form is a document used for registering healthcare providers who operate as organizations or groups, allowing them to obtain a unique identifier for billing and identification purposes within the healthcare system.

Who is required to file Asuris National Provider Identifier (NPI) Type 2 Registration Form?

Healthcare organizations, group practices, or any entity that provides healthcare services and requires an NPI for billing and claims submissions are required to file the Asuris National Provider Identifier (NPI) Type 2 Registration Form.

How to fill out Asuris National Provider Identifier (NPI) Type 2 Registration Form?

To fill out the Asuris NPI Type 2 Registration Form, providers must provide information such as the legal business name, the type of entity, contact information, taxonomy, and other relevant details. It's important to complete all required sections accurately to ensure proper registration.

What is the purpose of Asuris National Provider Identifier (NPI) Type 2 Registration Form?

The purpose of the Asuris NPI Type 2 Registration Form is to facilitate the identification of healthcare providers as organizational units, streamline the billing process, and ensure compliance with federal regulations regarding healthcare provider identification.

What information must be reported on Asuris National Provider Identifier (NPI) Type 2 Registration Form?

The information that must be reported includes the provider's legal business name, entity type, address, phone number, taxonomy code, and other relevant details that accurately describe the healthcare services provided by the organization.

Fill out your asuris national provider identifier online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now