Author Topic: Billing / Facilty/ Rendering/ group NPI numbers? (Read 37411 times)

newton5boys · « **on:** July 09, 2012, 02:48:00 AM »

Can someone plase tell me The difference between Billing NPI, Rendering NPI, Facilty NPI, and Group NPI? And the websites I can get them from? Im opening my own Clinc and Im get comfused On this hole NPI stuff please help!!

rdmoore2003 · « **Reply #1 on:** July 09, 2012, 04:37:57 PM »

a provider has an individual npi. if you are part of a group, you will also have a group npi that each provider in the group will be linked to. You will go to https://nppes.cms.hhs.gov/NPPES/Welcome.do to get registered.

Michele · « **Reply #2 on:** July 17, 2012, 03:51:59 PM »

rendering NPI is the provider who rendered the services, billing NPI is the provider or group who should receive payment, facility NPI is the NPI of the location where the services were performed.

dnyljhrisn · « **Reply #3 on:** July 17, 2012, 04:58:47 PM »

so is there any logic for using the Rendering MD NAME but the GROUP NPI in Box 33, if the Group is where you want the payemnt? ( new office environment....trying to figure out why they did this )
thanks

Michele · « **Reply #4 on:** July 17, 2012, 09:09:54 PM »

The NPI in box 33A must match the name in box 33. You can't mix and match.

Medical Billing Forum · « **Reply #4 on:** July 17, 2012, 09:09:54 PM »

PMRNC · « **Reply #5 on:** July 18, 2012, 03:03:16 PM »

The NPI also has to EXACTLY match the info IRS has.. I have a client who had a mess with NPI because the IRS had the zip code wrong!

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