What is NPI? How does it affect me?

Since HIPAA requires the adoption and use of a standard unique identifier for health care providers, the Centers for Medicare and Medicaid Services (CMS) accepted the National Provider Identifier or NPI as the standard identifier for health care providers.

The NPI is a 10-digit unique identifier that will represent health care providers in HIPAA standard transactions. The NPI must be used with HIPAA standard transactions when a provider identifier is required. It will replace health care provider identifiers in use today (including Medicare legacy IDs, UPIN, OSCAR, PIN and National Supplier Clearinghouse numbers).

The NPI itself does not represent demographic data about the provider. All of your demographic data will still be associated with your Blue Cross Blue Shield of Michigan provider identifiers. It is important for you to continue to follow your current process of contacting Blue Cross Blue Shield of Michigan when updates to your demographic data need to be applied to your Blue Cross Blue Shield of Michigan provider identifiers.