Glossary of Healthcare Operations Terms

Jump to Topic

Group NPI (Group National Provider Identifier)

What is Group NPI?

Group NPI is a unique identification number assigned to healthcare provider groups or organizations, such as medical practices or clinics, for billing and administrative purposes.

In what context is Group National Provider Identifier applicable?

A healthcare organization uses its Group NPI when submitting claims for services provided by multiple healthcare providers within the practice.

Let's symplify healthcare. Together.

There's a better way to run your healthcare organization and its systems. Learn more about symplr Provider.

Frequently asked questions

How Does Group NPI Work?
Group National Provider Identifier (NPI) allows healthcare providers to identify as part of a group practice. It simplifies billing and administrative processes by assigning a unique identifier to the group, streamlining communication with payers and regulatory entities.
How is a Group NPI different from an individual NPI?
A Group National Provider Identifier (NPI) is assigned to a healthcare group or practice, while an individual NPI is specific to a single healthcare provider. The Group NPI is used for billing and identification purposes, streamlining administrative processes for healthcare organizations with multiple providers.
How does a healthcare organization apply for a Group NPI?
Healthcare organizations can apply for a Group National Provider Identifier (NPI) through the National Plan and Provider Enumeration System (NPPES). The application process involves providing organizational details and ensures a unique identifier for billing and identification purposes in healthcare operations.
Can a healthcare provider group have both a Group NPI and individual NPIs?
Yes, a healthcare provider group can have both a Group National Provider Identifier (NPI) and individual NPIs for its practitioners. This allows for billing flexibility and ensures accurate identification of both the group entity and individual providers in healthcare operations.