National Provider Identifier (NPI)

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare and Medicaid Services (CMS).

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions.

As outlined in the Federal Regulation, The Health Insurance Portability and Accountability Act of 1996 (HIPAA), covered providers must also share their NPI with other providers, health plans, clearinghouses, and any entity that may need it for billing purposes.

Healthcare Providers acquire their unique 10-digit NPIs to identify themselves in a standard way throughout their industry. Individuals or organizations apply for NPIs through the CMS National Plan and Provider Enumeration System (NPPES). After NPPES supply NPIs, NPPES publish the parts of the NPI record that have public relevance, including the provider's name, specialty (taxonomy) and practice address.

NPI Data Tenant

Facilitates users to obtain master data of healthcare professionals and healthcare organizations and their locations.

The NPI data tenant facilitates users to obtain master data of healthcare professionals and healthcare organization and their locations. It contains the full database of associated NPI attributes that have been fully mapped to the standard Reltio canonical of values. It helps customers in acquiring external data, enrich information already available to them, and then share the enriched data internally with ease.

Multiple customer tenants can subscribe to NPI data tenant through the Data Tenant Subscription Service (DTSS) connection. DTSS enables the seamless sharing of data between Reltio tenants, without any external ETL (Extract, Transform, and Load) or integration effort.