Do individual providers register their NPI under their organization’s Medi-Cal provider number?
No. Individual providers must register their NPI under their own Medi-Cal provider number. The organization may register the individual’s NPI on their behalf but they must ensure they use the individual’s Medi-Cal provider number. Providers who do not possess a Medi-Cal provider number to bill the Medi-Cal program directly do not need to register an NPI with Medi-Cal. • When an individual provider works for two or more clinics that have separate Medi-Cal provider numbers and NPIs, does the individual provider need to register their NPI under the Medi-Cal provider numbers of each clinic and should the provider also register the NPI of each clinic? A: No. Individual providers are only required to register their NPI with their own Medi-Cal provider number. The clinics must register their own NPIs. If the individual provider has more than one Medi-Cal provider number, they must register each provider number with the NPI obtained from the National Plan and Provider Enumeration System (NPPES
Related Questions
- Does an individual with multiple Medi-Cal provider numbers and service locations need to register their one NPI for each Medi-Cal provider number?
- When a health care payer, like Medi-Cal, asks for an NPI number, should the provider give the corporation group NPI or the individual NPI?
- Do individual providers register their NPI under their organization’s Medi-Cal provider number?
