Medical Billing Forum
NPI Numbers => NPI Numbers => : dc006 September 04, 2009, 12:48:32 PM
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Hi:
Can any one tell me, if an individual doctor pulls away from a large group and had a NPI number that was never used, supposedly under the group, should they/can they use the never used NPI number given to them by the large group, or should they start all over with new NPI number, Medicare number, etc.? Of course, I believe it is true that they can have only one tax ID number? Is that correct?
They are thinking of developing a small group of their own after they have completely pulled away from the large group, i.e., doctor, NP, PA.
Please help.
Thank you.
Denise
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The NPI MUST match the TAX ID data.. EXACTLY. So if the group will be using another TAX ID, the NPI will need to match
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The doctor has their own individual npi # that is linked to only the provider. That npi number will stay with him forever. Then, the group has their own npi #s also. For Ky Medicare, when the provider switches to a different group he will get a new Medicare PTAN.(medicare #).
When you set him up for a brand new group. You will get a tax id for the group, then obtain an NPI for the new group practice. Then, just link the providers individual npi# with the new group npi# and tax Id#. ;D
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Linda:
Thank you for your response. Are you also saying that the Medicare/Medicaid numbers must always match the Tax ID as well, if anything changes?
Thank you.
Denise
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It sounds like they will be forming a new group, so they will have to credential the new group with Medicare/Medicaid and then link themselves to the newly formed group.
Michele
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Sherry:
Your reply has been very helpful as well. You have clarified many questions for me that I did not
even ask.
Thank you.
Denise
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Hello Michele:
Thank you too, for your response. Every one has helped me. I truly appreciate the answers.
Denise