Do all provider types need to apply for an NPI?
In accordance with the NPI final rule, some providers may not qualify for an NPI and therefore are not required to register an NPI with the Medi-Cal program. According to the DHCS interpretation of the final rule, as it relates to “atypical” providers, the following Medi-Cal provider types are not required to register an NPI: • Blood Banks • Christian Science Practitioner • Multipurpose Senior Services Program If any of the above provider types acquire an NPI, they may register it with the Medi-Cal program, but it is not required.
Related Questions
- If a provider registers an NPI on the Medi-Cal Web site, but the provider’s internal electronic billing system hasn’t been tested for Medi-Cal billing, will the claims be denied?
- Should the referring provider’s NPI or license number be entered on the claim?
- Do all provider types need to apply for an NPI?
