stream B0HH(+\K! 5. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal Procurements. WebEffective 1/1/16 taxonomy codes are required on all professional and facility claims submitted to UCare. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. If more than one taxonomy code is selected, one of the selected codes must be identified as the primary taxonomy. WebImplementation guide and codes The following materials are available from Washington Publishing Company to assist you in your submissions: Implementation guides (TR3) This product includes CPT which is commercial technical data and/or computer databases and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. The five characters in the middle vary since they are dependent upon the Level 3 specialization. To improve payment accuracy and timeliness, bill with National Provider Identifier (NPIs) numbers and taxonomy codes wherever and whenever they apply. Paper remittance advices will include both the NPI and subprovider information in the header. <> ALL rights reserved. 2801 0 obj <> endobj To purchase a subscription to these code lists, please contact us by email at admin@wpc-edi.com or phone at (425) 562-2245. WebWashington Publishing Company Taxonomy Code Detail www.wpc-edi.com/taxonomy 344800000X. Updated Taxonomy Codes The following taxonomy code definitions have been updated: Providers may refer to the Washington Publishing Company website for complete descriptions of the taxonomy codes. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires covered entities to use the Washington Publishing Company (WPC). WebSubject: Healthcare Provider Taxonomy Codes (HPTC) Update I. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. For more information, call the TMHP endstream endobj 2802 0 obj <. X12, chartered by the American National Standards Institute, develops and maintains cross-industry standards which drive business processes globally. Federal government websites often end in .gov or .mil. X12, chartered by the American National Standards Institute, develops and maintains cross-industry standardswhich drive business processes globally. WPC is a specialty standards-based publishing firm that prides itself in catering to its clients complex needs. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago IL 60611. 100-04 Medicare Claims Processing: Update to the Healthcare Provider Taxonomy Codes (HPTC) Version 5.1. % incorporated into a contract. endstream endobj 130 0 obj <>stream WebX12 WPC is X12s exclusive publisher and licensing agent. The code list is available from the Washington Publishing Company (http://www.wpc-edi.com/codes/taxonomy) as both a free PDF download, and a purchasable electronic list to facilitate automatic loading of the code set. (j 7T042P5425QH\$F`R!(fha>hD =9X27r ` R code 94799 and replaced with references to patient class codes 66, 67, 68, and 69. WebProvider Taxonomy Codes (837) Health Care Services Decision Reason Codes (278) HIPAA Mandated National Implementation Guides Please visit the Washington Publishing Company website and click on 'HIPAA Guides' for the ANSI ASCX12N national implementation guides adopted under HIPAA. endstream endobj 133 0 obj <>stream WebMedical billing taxonomy codes are a 10 digit alphanumeric character set used to classify health care organizations in accordance to the primary services they Additional works, such as the Rail Industry Implementation Guides, are available directly from WPC. The Code Set is maintained by the National Uniform Claim Committee. 177 0 obj <>stream Checks and paper remittance advice statements will be sent to the billing provider NPI address or pay-to address when supplied. Theyre copyrighted by the American medical Association and jointly published with the National Uniform Claim Committee. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. Webeach new code first appears. Providers can log into the Provider Information Management System (PIMS) to make updates to their taxonomy code. xIs0|wtfb.ItJ="A$9+ 89tA6=E(O /0Tu~&ZUm% raoNPM8#tz. WebTaxonomy Codes: What They Are and How They Are Used . DISCLAIMER: The contents of this database lack the force and effect of law, except as Why do health care providers need NPIs? The descriptions of the following Taxonomy Codes were changed: Behavioral Health & Social Service Providers; Psychologist; Intellectual & Developmental Disabilities, 251S00000X (A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Washington, D.C. 20201 In addition, the Washington publishing company produces material that contain taxonomy codes and they also give taxonomy codes definitions on their website. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov. WebDBH TAXONOMY CODE LIST Discipline Primary Taxonomy Code Case Manager Case Manager/Care Coordinator: 171M00000X Note: person does not have registration, license or waiver Social Worker II Mental Health Specialist Counselor: 101Y00000X Note: person does not have registration, license or waiver Registered Associate Clinical Social Worker (ASW) Providers should contact the client's specific MCO for details. Level I, Provider Type This is a high-level grouping of occupations were services provided by a healthcare practice. The taxonomy code list is grouped into three distinct levels that include the Provider Type, Classification, and Specialization Area. Healthcare Provider Taxonomy Code Set (HPTC) The Centers for Medicare & Medicaid Services is part of the United States Department of Health & Human Services. WebEffective 1/1/16 taxonomy codes are required on all professional and facility claims submitted to UCare. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government Use. 2819 0 obj <>stream WebA taxonomy code is a hierarchical code that indicates a healthcare profession. The Taxonomy codes are classified into three levels based on the services endstream endobj startxref Where can I obtain additional information on the NPI? The site is secure. WebTaxonomy Code list Version 5.1 and use it to update their internal HPTC tables. %%EOF 200 Independence Avenue, S.W. Provider Taxonomy codes and their descriptions can be found on the Washington Publishing Companys web page. Specialty and/or provider type codes issued by any entity including individuals with disabilities. U.S. Department of Health & Human Services %%EOF Seattle, WA 98121. The following is a complete listing of all taxonomy codes grouped by type. WebTaxonomy Code Mapping Facility Providers. endobj WebRubina H Mattu is a Specialist practicing in Washington, District Of Columbia. WPC provides technology to support online collaboration for NCPDP participants, publishes its online data dictionary and external code lists, and produces machine readable representations of each for NCPDP subscribers. 11 0 obj For over 40 years, Washington Publishing Company (WPC) has specialized in managing and distributing data integration information through publications, training, and consulting services. hbbd```b``@$%* /On`W`r!de@'.IAq)Y$gml 30?0 G| on wpc-edi.com. The following Taxonomy Codes have been modified for some hospitals: Provider Type. LICENSE FOR USE OF CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION ("CPT "). <>stream 103GC0700X 103TE1000X 103TM1700X 103TP2700X 103TW0100X 1835G0000X 213EG0000X 287300000X 2865C1500X 317400000X. The Code Set is maintained by the National Uniform Claim Committee. All rights reserved. WebProvider Taxonomy Codes (837) Health Care Services Decision Reason Codes (278) HIPAA Mandated National Implementation Guides. Washington Publishing Company The HPTC is a Provider Classification System, which codifies provider types and areas for all medical-related providers. endstream endobj 127 0 obj <>/Metadata 9 0 R/Names 148 0 R/Outlines 23 0 R/Pages 124 0 R/StructTreeRoot 24 0 R/Type/Catalog/ViewerPreferences 149 0 R>> endobj 128 0 obj <>/MediaBox[0 0 612 792]/Parent 124 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 9/Tabs/S/Type/Page>> endobj 129 0 obj <>stream WebHealth Care Provider Taxonomy Code Set: Codes and definitions administered by the National Uniform Claim Committee (NUCC) and distributed by Washington Publishing Providers may refer to the Washington Publishing Company website for complete descriptions of the taxonomy codes. Like Medicare, we will recognize the following taxonomy codes for hospital units: Additional taxonomy codes and information can be found on the Washington Publishing Company website. 11 0 obj Providers may refer to the Washington Publishing Company website for complete descriptions of the taxonomy codes. :{"Dn N^%~,xlr"5xf_sm}Ri@^e79FaNP6n3u RDs9 ti!DE `xzp#d60qEXGHK)umVAG8^)3Y.&A[)ORa. Web261QP2000X Physical Therapy Clinic/Center The Healthcare Provider Taxonomy Code Set is ahierarchical code set that consists of codes,descriptions, and definitions. WebJoin the Washington Publishers and enjoy our educational programs and annual Design and Effectiveness Competition The responsibility for the content of this product is with THHS, and no endorsement by the AMA is intended or implied. WebInterchange Technical Report Type 3 (TR3) as published by the Washington Publishing Company. How can health care providers obtain an NPI? xWXY;WQ^\eUjQetP^*7@$S'I4o. n%Ha1&r37Ib-xX5* CDT is provided as is without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. The ADA does no t directly or indirectly practice medicine or dispense dental services. That Code Set isavailable from the Washington Publishing Company.The Code Set is maintained by the National UniformClaim Committee. ]Hr?vui,*im6E0Ehg2)+ X` Effective April 1, 2021, some taxonomy code descriptions will be updated for some behavioral health and social service provider types, community/behavioral health agency provider types, and transportation services provider types for Texas Medicaid and the Children with Special Health Care Needs Services Program. As such, WPC provides technology, support, publishing, and licensing services for the ongoing maintenance and development of the X12 Standard, implementation guides, and several code lists. IF YOU DO NO AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN. The code list is available from the Washington Publishing Company (http://www.wpc-edi.com/codes/taxonomy) as both a free PDF download, and a purchasable electronic list to facilitate automatic loading of the code set. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. WPC is X12s exclusive publisher and licensing agent. The code set is maintained by the Washington Publishing Company. I94s]KB'KqkF3|Zulof3VYLz%.votuan]N3SD!ts+c?meNlx Mwh6}|@.v1G|GGp:j.duvh(j/:Ikly!BmN|{bYd5[P{bp_ > This Agreement will terminate upon notice if you violate its terms. 5010 Headache Mar 6, 2012 taxonomy codes by the Washington Publishing Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). 1. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. bP j@5sc.J6Y 4D80EHxm.hL3W%1 g8 *%0Z&7,j``>Xr] Modified Code 207LA0401X 207PE0004X The Healthcare Provider Taxonomy Code Set is a hierarchical code set that consists of codes, descriptions, and definitions. 54, Room 1072, Washington, DC 20306-0003; the Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. x\o8EZ68wk}b+Uo>{EmY"97QgE9I'x~|V.|y/"-gb}u]/Y:Sq#_#BE("7Ev|?(on i??>Oo@|GI'5td]O#IPt=q ?O_O|>>1G0f*;ye~[e7'"W_l}Qx{0?WW1|s"9>N27*[|gAmnMs%}+N. Background . Provider Taxonomy, Claim Adjustment Reason Code (CARC), Washington Publishing Company webpage ALTSA provider update alerts See the ALTSA listserv page HCA Provider Alerts See the agencys Provider Alerts webpage. To purchase a subscription to these code lists, please contact us by email at admin@wpc-edi.com or WebTaxonomy codes are ten characters in length, alphanumeric in nature, and always end with the letter X. This Agreement will terminate upon notice to you if you violate the terms of the Agreement. TOP What is my Primary Provider Taxonomy Code? Author: Kaplan, Amy E. (EHS) Created Date: WebA taxonomy code is a code that describes the Provider or Organizations type, classification, and the area of specialization. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the American Medical Association (AMA) is not recommending their use. WPC works with its clients to analyze their processes and identify opportunities for improvement in terms of consistent, predictable, and high-quality publishing and licensing of their work. If you do not agree to the terms and conditions, you may not access or use the software. Healthcare Provider Taxonomy Code Set K8+\+uIfknLuBzu8!#u:F29I9">%+1p40tt0t0Xt00Tt@ F j` b6 f All Rights Reserved. 3. Children's Health Insurance Program (CHIP), Updated Taxonomy Codes Effective for Some Medicaid and CSHCN Services Program Providers on April 1, 2021. IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. We are in the process of retroactively making some documents accessible. The Code Set is a Health Insurance Portability and Accountability You, your employees and agents are authorized to use CPT only as contained in materials on the Texas Medicaid & Healthcare Partnership (TMHP) website solely for your own personal use in directly participating in healthcare programs administered by THHS. Although the NUCC generally posts their updates on the Washington Publishing Company (WPC) web page 3 months prior to the effective date, changes are not effective until April 1 or October 1 as indicated in each update. How many NPIs do health care providers need? Each higher code level represents a more specific taxonomy classification that an organization receives. Claims submitted with invalid taxonomy codes will be rejected. The summary of changes for Version 5.1 is as follows: Additions: Provider Taxonomy Value: 170300000X Provider Taxonomy Value: 171000000X Provider Taxonomy Value: 1710I1002X Provider Taxonomy Value: 1710I1003X Inactive code. The Department may not cite, use, or rely on any guidance that is not posted Electronic 835 remittance advices have been sorted by NPI since May 2008. (These code lists were Confirm taxonomy and resubmit any rejected claims BCBSTX Medicaid STAR/CHIP & STAR Kids Electronic Claims CMS-1500 UB-04 Claim Requirements Claim Form Form Locator Billing Provider 3HGGj pSZZ@pR$J%)7u7Hj%XOtY57gchLJsk^h~2>&4 8b a4 _ gqbewNQb "Tb68gc2Tb amS41y?qJ[2dW7s;Zm;wViL5`_ Coast Guard Transport - 3418M1110X, Military/U.S. Download the Guidance Document Final Issued by: Centers for Medicare & Medicaid Services (CMS) That Code Set is available from the Washington Publishing Company. Providers may refer to the Washington Publishing Company website for complete descriptions of the taxonomy codes. WebThe Provider Taxonomy code lookup is available online at https://taxonomy.nucc.org/.. Taxonomy Code. @, The ADA is a third party beneficiary to this Agreement. endstream endobj 131 0 obj <>stream The Code Set is maintained by the National Uniform Claim Committee. Toll Free Call Center: 1-877-696-6775. endobj WebThe Health care Provider Taxonomy codes are a HIPAA standard code set named in the implementation specifications for some of the standard HIPAA transactions. Webagainst the taxonomy code set published at the Washington Publishing Companys website. endstream endobj startxref WARNING: THIS IS A TEXAS HEALTH AND HUMAN SERVICES INFORMATION RESOURCES SYSTEM THAT CONTAINS STATE AND/OR U.S. GOVERNMENT INFORMATION. For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413. The goal of the mapping solution is to identify the appropriate MPN for provider claim adjudication. Call to speak with a specialist now. WebGuideline: Medicare does not require that taxonomy codes be submitted in order to adjudicate claims, but will accept the taxonomy code, if submitted. 4 0 obj Supported browsers: 0 x}Rj0}W{(N;&]XHm3,q+ CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. 10 0 obj WebCMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY CROSSWALK This document walks the CMS Medicare specialty codes to the taxonomy codes currently maintained by the Washington Publishing Company as mandated by the Health Insurance Portability and Accountability Act (HIPAA) of 1996. CDT is a trademark of the ADA. <>/Metadata 129 0 R/ViewerPreferences 130 0 R>> WebWashington Publishing Company Taxonomy Code Detail www.wpc-edi.com/taxonomy Family Practice 207Q00000X Allopathic and Osteopathic Physicians Family Medicine Applications are available at the American Dental Association web site, http://www.ADA.org. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. hWmo8+~Hj>fdp]j\b6H9v7TE>.W>app%aDGAd ` 0+#0kbgg>R!Kk4D)5H i06D0t@aD ^apB0H*.PDPN'Zp;d:NcgeV6aXbEtiCNJ[M>yHTsfmg+]T!8bt0\ -oq j[zpcC{=%%+6^p:YW.b 1!s_@|&@*gevoE!g]6Y=TNl6u*r (e41$.x[r*&X XwI- O-nj#KT?+qW>ib6wI&JCJ{jN@Z4D)z)R-&xm/l9Z]4'sVv}n~SHZ(fW"n3"ChpyC}?h8]A;,/MFwI:N}J|&tT;nO>7,YMTQ{4kiD#dI&uM~7r>q^p>w8~SSzS_moSD\5?K~ mmuKqmgCUP?` l endobj WebThe Healthcare Provider Taxonomy Code Set is a hierarchical code set that consists of codes, descriptions, and definitions. Healthcare Provider Taxonomy Codes (HPTCs) October 2019 Code set Update MLN Matters Number: MM11418 Related Change Request (CR) Number: 11418 Related CR Release Date: August 23, 2019 Effective Date: January 1, 2020 Related CR Transmittal Number: R4371CP Implementation Date: January 6, 2020 New / Revised Material Effective Date: April 1, 2007 Implementation Date: April 2, The first four characters of a taxonomy code indicate its Level 2 Classification. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. o6eA HSMo@WqWESV5%{Jz0"wf DDA]H!5C!B~G$H/mt/uZZ43",TNn.^]KPVH "22l*E?z1MXX'#=8{ceE\Y:Z-v:Z. The National Provider Identifier (NPI) is #1255393542, which was assigned on April 4, 2006, and the registration record was last updated on July 8, 2007. No fee schedules, basic unit, relative values or related listings are included in CDT. Within the context The AMA is a third party beneficiary to this Agreement. The AMA does not directly or indirectly practice medicine or dispense medical services. U.S. GOVERNMENT RIGHTS. BY USING THIS SYSTEM YOU ACKNOWLEDGE AND AGREE THAT YOU HAVE NO RIGHT OF PRIVACY IN CONNECTION WITH YOUR USE OF THE SYSTEM OR YOUR ACCESS TO THE INFORMATION CONTAINED WITHIN IT. Established in 1975 and incorporated in 1987, WPC is widely recognized as a leading expert in supporting the development, publishing, and licensing of complex and specialized data integration standards. CMS DISCLAIMER. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. The Health Care Provider Taxonomy Code Set is available at no charge from the Washington Publishing Companys website: www.wpc-edi.com. WebTaxonomy Code Mapping Facility Providers Facility Type Taxonomy Code Washington Publishing Company Taxonomy Code Detail (www.wpc-edi.com/taxonomy) Lets take the code for Pediatric Cardiology (2080P0202X) as an example. %PDF-1.5 % Is a health care provider required to obtain an NPI? Background The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires covered entities to use the Washington Publishing Company (WPC). These materials contain Current Dental Terminology, Fourth Edition (CDT), Copyright 2022 American Dental Association (ADA). For instance, the classification set aside for Allopathic & Osteopathic Physicians is based on the General Specialty Certificates issued by the national boards appropriate for that discipline. Level II, Classification This is a more specific classification related to the Provider Type. Speech Pathologist, or Physical Therapist). 4. Guidance announcing that carriers and DMERCs must obtain the Health Care Provider Taxonomy Code list Version 5.1 and use it to update their internal HPTC tables. 2107 Elliott Ave, Suite 305 Washington Publishing Company. See information on how to enroll a rendering practitioner in Ohio Medicaid via the PNM, That Code Set is available from the Washington Publishing Company. Content on this page is from the provider manual | Disclaimer, Claims remittance advice and reimbursement, Search NPI registry for providers and facilities, Billing provider NPI, the minimum information needed to process a claim, Pay-to provider NPI, if different from the billing provider, Service location NPI, if different from the billing address, Billing provider taxonomy code, a combination of tax ID, NPI, and taxonomy code that replaces the Medicare facility number for hospital payment methodology, Pay-to provider taxonomy code, if different from the billing provider. Seattle, WA 98121. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. The taxonomy code is used to identify your healthcare profession (i.e. This product includes CDT, which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable, which was developed exclusively at private expense by the American Dental Association, 211 East Chicago Avenue, Chicago Illinois, 60611. It is important to use the correct billing provider NPI when submitting claims. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer databases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. Webexternal code lists that were previously available on wpc-edi.com. hb```K* ea`7 hW!)!H20 WebWashington Publishing Company Taxonomy Code Coupons, Promo Codes 03-2021. HlTn0}WQ.bEPH0]glapt&I lUe9b 9AB ?xx[8?%$pqq;R. For instance, Dental Providers, Allopathic and Osteopathic Physicians, and Hospitals. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "ACCEPT". endobj 88 Thursday, No. Call to speak to a representative. SUMMARY OF CHANGES: Intermediaries, Carriers, and DME Contractors must obtain the most recent Healthcare Provider Taxonomy Codes (HPTC) list and use it to update their internal HPTC tables. Failure to use the correct number will result in the claim being rejected, denied or paid to the incorrect provider. For more information, call the TMHP Contact Center at 800-925-9126. 2. WebContact us at 877-524-5027. WebA taxonomy code is a unique 10-character code that designates your classification and specialization. To sign up for updates or to access your subscriber preferences, please enter your contact information below. CMS has identified provider taxonomy (PROV-CLASSIFICATION-TYPE=1) as the preferred method of reporting provider specialization in T-MSIS. ----------------------- WebGeneral NPI information Enumeration Claims/billing Payer readiness General information What is a National Provider Identifier (NPI)? 126 0 obj <> endobj The first four alphanumeric characters indicate its Level 2 Classification. Web3 Identification Codes and Numbers 3.1 Provider Identifiers APEX requires all submitters to use one of the following combinations of identifiers until further notice: Combination of the NPI or Taxonomy Exception with the TIN. How can health care providers report NPIs to Independence? Any questions pertaining to the license or use of the CDT should be addressed to the ADA. WPC publishes code lists for the CMS that are used in conjunction with X12 transaction sets and are referenced in X12 implementation guides. As such, WPC provides technology, support, publishing, and licensing services for the ongoing maintenance 2809 0 obj <>/Filter/FlateDecode/ID[<250BADD9AED58242A0F62668AC1F6E26><8973A7BA94F24C4482A4EA51239428C6>]/Index[2801 19]/Info 2800 0 R/Length 59/Prev 521806/Root 2802 0 R/Size 2820/Type/XRef/W[1 2 1]>>stream Coast Guard Pharmacy - 332000000X, Department of Veterans Affairs (VA) Pharmacy - 332100000X, Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X, Non-Pharmacy Dispensing Site - 332900000X, Durable Medical Equipment & Medical Supplies - 332B00000X, Durable Medical Equipment & Medical Supplies - 332BC3200X, Durable Medical Equipment & Medical Supplies - 332BD1200X, Durable Medical Equipment & Medical Supplies - 332BN1400X, Durable Medical Equipment & Medical Supplies - 332BP3500X, Durable Medical Equipment & Medical Supplies - 332BX2000X, Emergency Response System Companies - 333300000X, Prosthetic/Orthotic Supplier - 335E00000X, Organ Procurement Organization - 335U00000X, Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X, Radiology Practitioner Assistant - 243U00000X, Specialist/Technologist, Pathology - 246Q00000X, Specialist/Technologist, Pathology - 246QB0000X, Specialist/Technologist, Pathology - 246QC1000X, Specialist/Technologist, Pathology - 246QC2700X, Specialist/Technologist, Pathology - 246QH0000X, Specialist/Technologist, Pathology - 246QH0401X, Specialist/Technologist, Pathology - 246QH0600X, Specialist/Technologist, Pathology - 246QI0000X, Specialist/Technologist, Pathology - 246QL0900X, Specialist/Technologist, Pathology - 246QL0901X, Specialist/Technologist, Pathology - 246QM0706X, Specialist/Technologist, Pathology - 246QM0900X, Specialist/Technologist Cardiovascular - 246X00000X, Specialist/Technologist Cardiovascular - 246XC2901X, Specialist/Technologist Cardiovascular - 246XC2903X, Specialist/Technologist Cardiovascular - 246XS1301X, Specialist/Technologist, Health Information - 246Y00000X, Specialist/Technologist, Health Information - 246YC3301X, Specialist/Technologist, Health Information - 246YC3302X, Specialist/Technologist, Health Information - 246YR1600X, Specialist/Technologist, Other - 246Z00000X, Specialist/Technologist, Other - 246ZA2600X, Specialist/Technologist, Other - 246ZB0301X, Specialist/Technologist, Other - 246ZB0302X, Specialist/Technologist, Other - 246ZB0500X, Specialist/Technologist, Other - 246ZB0600X, Specialist/Technologist, Other - 246ZC0007X, Specialist/Technologist, Other - 246ZE0500X, Specialist/Technologist, Other - 246ZE0600X, Specialist/Technologist, Other - 246ZG0701X, Specialist/Technologist, Other - 246ZG1000X, Specialist/Technologist, Other - 246ZI1000X, Specialist/Technologist, Other - 246ZN0300X, Specialist/Technologist, Other - 246ZS0410X, Specialist/Technologist, Other - 246ZX2200X, Technician, Health Information - 247000000X, Technician, Health Information - 2470A2800X, Military/U.S.
