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NPI Submission Form Organizational Provider Number: SECTION 1 BASIC INFORMATION A. Reason for Submittal of This Form (Check the appropriate box) 1. Initial Submission 3. Deactivation of NPI No. 2.
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How to fill out organization npi form

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How to fill out organization NPI form:

01
Gather all necessary information: Before filling out the organization NPI form, make sure you have all the required information readily available. This includes the organization's legal name, tax identification number, address, phone number, and other relevant details.
02
Access the National Plan and Provider Enumeration System (NPPES): The organization NPI form can be filled out online through the NPPES website. Access the website and create an account if you don't have one already.
03
Select the "Create or Manage an NPI" option: Once logged in, navigate to the main menu and select the "Create or Manage an NPI" option. This will lead you to the organization NPI application form.
04
Complete the form sections: The form will be divided into sections that require specific information. Fill out each section accurately and thoroughly. Common sections include organization information, practice location details, provider information (if applicable), and healthcare services offered.
05
Provide supporting documentation: In some cases, you may need to provide supporting documentation to validate the information provided in the NPI application form. This can include legal documents, licenses, and certifications. Ensure you have these documents available and attach them as required.
06
Review and submit the form: Once you have filled out all the necessary sections and attached any required documentation, take the time to review the form thoroughly. Check for any errors or missing information. Once confident, submit the application.

Who needs organization NPI form:

01
Healthcare organizations: Healthcare organizations such as hospitals, medical clinics, nursing homes, rehabilitation centers, and dental practices all need to fill out an organization NPI form. This form helps differentiate them from individual healthcare providers within the organization.
02
Businesses providing healthcare services: Businesses that provide healthcare services, such as medical billing companies, medical equipment suppliers, and telemedicine platforms, may also need to fill out an organization NPI form. This ensures that their organization is recognized and identified in the healthcare system.
03
Non-profit organizations involved in healthcare: Non-profit organizations that are involved in providing healthcare services or support, such as charitable clinics or research institutions, may also require an organization NPI form. This helps in identifying and categorizing them appropriately within the healthcare system.
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Organization NPI form is a form used to apply for a National Provider Identifier (NPI) for healthcare organizations.
Healthcare organizations such as hospitals, clinics, and group practices are required to file organization NPI form.
To fill out the organization NPI form, the healthcare organization needs to provide information about their entity, including name, address, type of organization, and contact details.
The purpose of organization NPI form is to obtain a unique identification number for healthcare organizations to facilitate electronic transactions.
Information such as organization name, address, taxonomy code, and contact information must be reported on organization NPI form.
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Relevant keywords

NPI Taxonomy subparts CMS NPIs UPIN wpc edi Submittal yy SUBPART Deactivation applicable Organizational Specialties Medicare Medicaid MD licenses Submission Dissolved Mailing ORGANIZATIONS Provider describes Postal

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