Question on adding a provider

[kanchan S]

Hello,

I was trying to add provider whose data we are requesting to access . I have following question:

1. what is an id? 
2. What is a National Provider Identifier (NPI)- should it be 10 digit NPI number. We are apply for practice of 10 providers. Do we need to add NPI for each provider or we can add Practice NPI . In practice NPI case , whose name will be there because there are 10 providers?

I will appreciate any help.

Thanks

Kanchan

[Data at the Point of Care (DPC) Community]

Hello! 

Thanks for your question. We're reviewing the information you shared and will get back to you shortly.

Thank you,

The DPC API Team

Please be careful not to share either Personally Identifiable Information (PII) as defined in the Privacy Act of 1974 or Protected Health Information (PHI) when communicating with our team via email or in our Google Group. In certain circumstances, CMS may ask you to provide a data file to assist us in troubleshooting a problem that you bring to our attention. In those instances, we will provide you with instructions for how to handle the transmission. 

[Data at the Point of Care (DPC) Community]

Hello Kanchan,

Thanks for your inquiry!

Regarding your question on NPIS:

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Standard. This 10-digit ID is unique for covered health care providers and required when requesting access for the Data at the Point of Care (DPC) API. There are two types of NPIs: Type 1 for individual practitioners and Type 2 for provider organizations. Here is more information regarding NPI IDs. 

Regarding your question on DPC API requirements for adding NPIs:

• If you're creating practitioner resources, you must add one Type 1 NPI for each individual practitioner added.
• For group resources, you must also add one Type 1 NPI for each individual practitioner added.

Please let us know if we've addressed your questions

Best,

The DPC API Team

Please be careful not to share either Personally Identifiable Information (PII) as defined in the Privacy Act of 1974 or Protected Health Information (PHI) when communicating with our team via email or in our Google Group. In certain circumstances, CMS may ask you to provide a data file to assist us in troubleshooting a problem that you bring to our attention. In those instances, we will provide you with instructions for how to handle the transmission.