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Single-member LLC NPI type?

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katyus:
Another question - since I need to apply for both types of NPIs, can I do this online as a single application or will it be 2 separate online applications?

RichardP:

--- Quote from: dekenn on October 04, 2016, 12:43:12 PM ---Actually, you can be a sole proprietor with an EIN and a "doing business as" name and still have a Type 1 NPI. I believe the difference is that you are not incorporated (LLC, corporation, partnership, etc)  in any way. Even a sole proprietor needs an EIN in order to pay employees and submit payroll taxes for those employees and when you register for that, you can create a "doing business as" name without incorporating. It's just a business, not a corporation.
Maybe it depends on what state you're in, we are in NJ and that is how we are set up.

--- End quote ---

That is the point made in the CMS link I provided.  The distinction is based on who gets paid: the human person or the organization.  To quote (from top of Page 5):

National Provider Identifier - What You Need to Know

As a sole proprietor, you may receive only one NPI, just like any other individual. For
example, if a physician is a sole proprietor, the physician may receive only one NPI
(the individual’s NPI). The following factors do not affect whether a sole proprietor is an
Entity Type 1:

Number of different office locations;
Whether you have employees; and
Whether the Internal Revenue Service (IRS) issued an EIN to you so your employees’
W-2 forms can reflect the EIN instead of your Taxpayer Identification Number (which is
your SSN).

NOTE:  A sole proprietor is not an incorporated individual because the sole proprietor did
not form a corporation. If you are a sole practitioner or solo practitioner, it does not necessarily mean you are a sole proprietor, and vice versa.

From the bottom of Page 4:  Individual health care providers may receive NPIs as Entity Type 1. As a sole proprietor, you must apply for the NPI using your own Social Security Number (SSN), not an Employer Identification Number (EIN) even if you have an EIN.

RichardP:

--- Quote from: katyus on October 04, 2016, 04:29:24 PM ---Another question - since I need to apply for both types of NPIs, can I do this online as a single application or will it be 2 separate online applications?
--- End quote ---

Curiousity is a useful attribute.

Page 6 of the link I provided answers your questions.  But here you go:

https://nppes.cms.hhs.gov/NPPES/Welcome.do
Online:

https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/downloads/CMS10114.pdf
Print and mail in.  Instructions provided

Not trying to be snarky here - but you really need to learn your own way around this issue.  It will be with you for a long time.  Come back with questions, but do your own research as well.  That would include scanning through links provided in response to your questions.

Michele:
NPIs are national so the rules are the same in all states.  LLC is an organization and needs a separate type 2 NPI. 

rballinger1:
You can register online for both NPI numbers, but you'll have to register separately, once as the individual, and then create an user and register for the LLC.

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