Provide organization name (legal business name used to file tax returns with the IRS). Provider Organization Name (Legal Business Name) The "parent"-we don't know who the parent is in this example-must ensure that each subpart that submits its own claims to health plans has its own NPI. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. Neither the pharmacy line of business nor the DME line of business represent legal entities instead, both lines of business are part of an organization (the "parent") that is a legal entity. (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. (2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity instead, each office is part of the corporation (the "parent") which is a legal entity. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. Here are three examples of organization health care providers that may be considered subparts and may apply for NPIs if so directed by their "parents":
Many organization health care providers who apply for NPIs are not legal entities themselves but are parts of other organization health care providers that are legal entities (the "parents"). The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. If the organization is a subpart =, the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed.
The "Is the organization a subpart?" question must be answered.
TWEETEN BOISE OPHTHALMOLOGY FULL
Full Replica of the CMS (NPPES) NPI Record Field Nameġ0-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.Ĭode describing the type of health care provider that is being assigned an NPI. The database of Provider information which drives WebMD Provider Directory does not contain sufficient information with which to verify Provider credentials under the standards of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), National Committee for Quality Assurance (NCQA) of the Utilization Review Accreditation Committee (URAC).īy using the WebMD Provider Directory, you agree to these Terms and Conditions.Reference NPI Information. The use of WebMD Provider Directory by any entity or individual to verify the credentials of Providers is prohibited. WebMD shall in no event be liable to you or to anyone for any decision made or action taken by you in the reliance on information provided in the Provider Directory. You assume full responsibility for the communications with any Provider you contact through the Provider Directory. Without limiting the foregoing, WebMD does not warrant or represent that the Provider Directory or any part thereof is accurate or complete. WebMD disclaims all warranties, either express or implied, including but not limited to the implied warranties of merchantability and fitness for particular purpose. The Provider Directory is provided on an "AS-IS" basis. You are prohibited from using, downloading, republishing, selling, duplicating, or "scraping" for commercial or any other purpose whatsoever, the Provider Directory or any of the data listings or other information contained therein, in whole or in part, in any medium whatsoever. Inclusion in the Provider Directory does not imply recommendation or endorsement nor does omission in the Provider Directory imply WebMD disapproval. The Provider Directory is not intended as a tool for verifying the credentials, qualifications, or abilities of any Provider contained therein. The WebMD 'Provider Directory' is provided by WebMD for use by the general public as a quick reference of information about Providers.
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