NPI Look Up
Looking to verify or acquire a National Provider Identifier? NPI Lookup offers clear explanations, easy guidance, and searchable tools for providers and patients alike.
What is NPI?
Why You Need It (and When)
Mandatory for HIPAA transactions
Claims, billing, remittances, referrals, eligibility checks
Required before enrolling with Medicare/Medicaid
Simply put, it's mandatory in the US
Used widely
By insurers, clearinghouses, EMRs, and for coordinating benefits or fraud detection
What You Can Find in the Public NPI Registry
Visit
Visit the National Plan and Provider Enumeration System (NPPES) at CMS and create an account
Apply
Apply online (fastest, usually minutes), or mail a paper CMS‑10114 form
EFI
Larger organizations can use Electronic File Interchange (EFI) for bulk applications
How to Apply for an NPI
After You Get It: Managing & Updating Your NPI
- One lifetime NPI number per individual or organization — does not change unless in extreme cases
- Update your NPI record within 30 days of any address, taxonomy, or status change
- Registry won’t auto‑sync with Medicare enrollment—separate update process required
How to Use This Site
Quick NPI Lookup:
Search providers instantly by name, specialty, or NPI number.
Learn How to Apply:
Step‑by‑step guide for web, mail, or bulk applications.
NPI FAQs:
Easy answers on taxonomy codes, multiple NPIs, and privacy.
Is NPI Look Up Right for You?
Perfect if you're:
- Individual practitioner getting credentialed for the first time
- Clinic or organization needing to manage NPIs for staff
- Billing/electronic claims specialist needing accurate provider IDs
Also ideal for:
- Patients or healthcare staff verifying practitioner credentials
- Payers and EMRs using NPIs for claims processing or referrals
Summary
The NPI is an essential, permanent identifier for U.S. healthcare providers—required for billing, claims, credentialing, and electronic transactions. Apply via NPPES, keep your record updated, and use NPI Lookup to verify provider details quickly and reliably.
NPI Look Up Tool for Sales Reps
The National Provider Identifier (NPI) is a unique, 10‑digit numeric ID assigned by CMS under HIPAA. It serves as the standard identifier for health care providers in all administrative and financial transactions—replacing legacy systems like UPINThe National Provider Identifier (NPI) is a unique, 10‑digit numeric ID assigned by CMS under HIPAA. It serves as the standard identifier for health care providers in all administrative and financial transactions—replacing legacy systems like UPIN
- Type 1: Individual practitioners (doctors, nurse practitioners, etc.)Type 1: Individual practitioners (doctors, nurse practitioners, etc.)
- Type 2: Healthcare organizations (hospitals, clinics, group practices)
Not required for providers who don’t bill electronically or use third‑party payers—but still beneficial for practice management.
Accessible through CMS’s NPPES database, each NPI record may include:
- Provider’s name, practice address, and taxonomy (specialty)Provider’s name, practice address, and taxonomy (specialty)
- Enumeration date, last update, status (active/inactive)
Note: Sensitive information (DOB, SSN, ITIN) is withheld under FOIANote: Sensitive information (DOB, SSN, ITIN) is withheld under FOIA
Turnaround varies—from immediate to several days, sometimes up to 20 daysTurnaround varies—from immediate to several days, sometimes up to 20 days
Sales & the NPI: What Healthcare Reps Need to Know
Accurate Targeting:
NPIs help identify and segment physicians, specialists, clinics, and healthcare systems by specialty, location, or organization type.
Credentialing & Access:
Many facilities and IDNs require NPI verification when granting rep access or vendor credentials.
CRM Integration:
Top sales teams link NPIs to their CRM to track territory coverage, referral networks, and call history.
Claims & Workflow Alignment:
Selling solutions tied to the revenue cycle or insurance reimbursements? NPIs are key to understanding provider billing behavior.
If you're in medical device sales, pharmaceutical sales, EMR software, or healthcare staffing, understanding and leveraging NPIs is essential to doing business with healthcare providers.