What is NPI Lookup?

NPI Lookup is the most advanced AI-powered platform for finding the latest information about medical practitioners present in the United States. It's one of the most reliable NPI Number Lookup tools. Apart from this, it is the world's first artificial intelligence-powered platform for searching for National Provider Identifier (NPI) details. NPI Lookup allows you to search the NPI records of doctors, hospitals, and other healthcare providers using everyday language queries, saving you from the need for tedious manual searches. Now, you can search the provider's records by using a natural language query of your choice.

This NPI Lookup website also brings the most advanced AI-powered search facility to ask any question or query about a healthcare provider's NPI profile in natural language.

The data available on this NPI lookup website is in synchronization with the latest NPPES NPI database. And that is why we can guarantee you the most up-to-date and latest information about any provider present in the United States.

With the help of this NPI Lookup tool, it is a cakewalk to find any healthcare provider's National Provider Identifier (NPI) profile, including their NPI number, address or contact details, group, specialization, taxonomy, license details, or any other important information. You can also ask any questions related to the healthcare provider in general language as we are AI-powered.

NPI lookup serves as the one-stop platform for verifying and accessing information about healthcare providers and entities participating in the United States healthcare system.

What is an NPI Number?

An NPI number is a unique 10-digit identifier assigned to healthcare providers in the United States of America. NPI stands for National Provider Identifier. This number is assigned to medical providers by the Centers for Medicare & Medicaid Services (CMS).

NPI is a unique 10-digit numeric identifier and is used to identify any healthcare provider, be it an Individual or an Organization. All the doctors, physicians, hospitals, nurses, clinics, and other healthcare providers have NPI to represent themselves across the healthcare industry. The information about NPI is securely stored in the NPI registry maintained by the Centers for Medicare & Medicaid Services (CMS) in the United States.

Now, with our NPI Lookup tool, it's super easy to search and validate the NPI Number.

How to use NPI Lookup?

Using the NPI lookup tool is extremely easy and straightforward. Following are the steps you can follow to find the NPI information of healthcare providers:

Step 1: Enter the First Name, NPI Number, or a general search query inside the input text field provided. The general search query of the NPI Lookup tool is powered by AI, so you can enter any query to search the NPI records of providers.

Step 2: Click on the search button.

Step 3: Our AI-powered NPI Lookup tool processes your query and presents you with the most related NPI records. Click on the "More Details" button to open any record.

Step 4: You can further filter the search by clicking "Click Here to Filter Results [Advance Search]" to match your search criteria.

Step 5: Once you are satisfied, open any profile of any healthcare provider. There, you can ask any questions related to the profile again.

That's it! Repeat the above steps as many times as you want. Our NPI Number lookup service is completely free.

How Do I Find My NPI Number?

The NPI number can be found on npilookup.io for free. NPILookup provides the latest data on healthcare providers and is always in sync with the NPI Registry (Maintained by the Centers for Medicare & Medicaid Services (CMS)).

What is the NPI Registry?

NPI Registry, also known as the National Provider Identifier Registry, is a registry of NPI records of healthcare providers in the United States. It is maintained by CMS and maintains the NPI information of healthcare providers like doctors, hospitals, etc., assigned by the federal government.

The NPI Registry acts as a standard to identify and validate the healthcare providers. It also facilitates electronic transactions related to the healthcare industry, such as claims and billing, and facilitates accuracy, reliability, and efficiency, which is extremely important for the transactions.

When Did NPI Numbers Begin?

In July 1993, the Centers for Medicare and Medicaid Services announced a project to develop an identification system for healthcare providers. This system was proposed in the United States to fulfill the needs of the Medicare and Medicaid programs. It also served as a solution of a common need for nationwide identification system for all healthcare service providers (Be it doctors, nurses, hospitals, etc.).

The NPI was established to create a standard for the medical system through the NPI Final Rule, which was published on January 23, 2004.

Key Features and Functionalities of Our AI-Powered NPI Lookup Tool

This AI-powered National Provider Identifier (NPI) lookup tool is filled with lots of features that will help in better accessing the NPI data for any kind of analysis, search and a better user experience. Some key features that bring uniqueness in this tool are as follows.

Natural Language Processing (NLP)

The tool makes use of NLP algorithms to understand the queries and provide results. Users can ask questions in simple language and the tool will analyze the query, extract relevant information from the NPI database and provide concise answers.

Comprehensive Profile Generation

The tool provides complete detailed profile of the healthcare providers as listed in the NPI database. The details include practice location, affiliations, speciality, contact details and more.

Contextual Understanding

Our tool tries to understand the context of every query to provide the results. It does not just depend on direct keyword matching. Because of this understanding, the results are more specific to the information needs.

Real-Time Updates and Synchronization

The data that is presented by this tool is in line with the latest information on the NPPES NPI Database. Users will have the nost accurate details. Even if there is any change in the demographic data, practice location, contact details, our tool will keep the users informed.

Enhanced Search Functionality

Experience the flexibility of both manual and AI-driven search options with our tool. Seamlessly adjust advanced search fields, intelligently pre-filled by our artificial intelligence, to cater to your specific requirements.

Profile Verification

After conducting a search, our NPI lookup tool empowers you to revalidate your profile. This entails real-time cross-verification with the NPPES NPI database and thorough validation of the NPI number utilizing the Luhn algorithm, ensuring utmost accuracy and reliability.

Customized Insights and Analysis

Every user can have his or her own set of queries and the tool will provide results or information relevant to the need. The users will be able to make to better decisions.

User-Friendly Interface

The tool has a very simple and user-friendly interface. The users can easily input the queries, surf through the results, and access detailed profiles. All this does not even require any technical expertise.

Scalability and Flexibility

This AI-powered platform has been designed in a manner that can accommodate the growing volume of NPI data.

Our AI-powered NPI lookup tool offers a variety of features and functionalities designed to easily look through the NPI data. The advanced algorithms will help in extracting insights and information from NPI records quickly and efficiently, ultimately driving positive outcomes in the healthcare industry.

Benefits of Our NPI Lookup Tool

Our AI-powered National Provider Identifier (NPI) lookup tool offers a huge range of benefits that will transform and revolutionize the way healthcare professionals access and utilize NPI data. Here's how our tool can help you transform healthcare operations.

Enhanced Accuracy and Precision

The tool makes use of advanced AI algorithms ensuring levels of accuracy in retrieving NPI data. Natural language processing (NLP) helps in understanding the queries and reduces the risk of errors and wrong information.

Comprehensive Insights

Our tool works more than providing just basic search functions. Users can get detailed profiles of the healthcare providers. Details include contact information, affiliations, specialty, credentials, and more, thereby providing help for decision-making.

Time and Cost Savings

When one searches through the NPI data manually, it can be time-consuming. This AI-powered NPI Lookup tool can streamline this process and save a lot of time and effort and, in turn, resources for insurance companies, researchers, healthcare organizations, etc.

User-Friendly Interface

Our NPI Lookup tool has a very user-friendly interface designed in a manner that it can be used by people with zero technical knowledge. Whether you are an insurance company, a healthcare professional or a surveyor, researcher, our tool makes your life easy by making NPI data access effortless.

Customized Insights and Analysis

Users can easily customize their queries and fetch relevant information according to their needs. If you want to compare the providers within a region or analyse some speciality or geographical distribution, our tool will help you in doing all of these.

Real-Time Updates and Synchronization

The healthcare industry is constantly changing. There will be changes in the information of healthcare providers frequently. Our NPI Lookup Tool will ensure that the users have access to the latest and most accurate NPI data by covering all the real-time updates and being in sync with the NPI database.

Our AI-powered NPI lookup tool offers a huge range of benefits, which include accuracy, comprehensive insights, time savings, resource and effort saving cost savings, user-friendly interface, customized analysis, real-time updates, and scalability. These capabilities guide healthcare professionals to make informed decisions in the ever-changing healthcare industry.

NPI Categories

Health Care Provider National Provider Identifier (NPI) categories are divided into two main types: Entity Type 1 and Entity Type 2. Entity Type 1 focuses on individual providers, and Entity Type 2 focuses on organizations. This classification helps in the proper listing of the healthcare providers.

Entity Type 1: Individual Health Care Providers

The Type 1 category includes health care providers such as physicians and sole proprietors. They need to apply for an NPI using their Social Security Number (SSN) rather than an Employer Identification Number (EIN), even if they possess an EIN. According to the rules, sole proprietors are eligible for only one NPI. This category of classification of NPI doesn’t make any difference because of the number of office locations, employee status, or possession of an EIN. Remember to distinguish between sole practitioners and sole proprietors, as these terms cannot be used in place of another.

Entity Type 2: Organization Health Care Providers

Entity Type 2 includes organization health care providers. These can range from organizations having a single employee to numerous staff members. This category also includes subparts of the organization, for example, a department within a hospital such as a pharmacy, laboratory, etc., each having its own NPI.

How Do You Get an NPI Number?

Healthcare providers and organizations who want to get an NPI (National Provider Identifier)can do so through the National Plan and Provider Enumeration System (NPPES).

Where to Apply: Healthcare providers and organizations can apply for an NPI (National Provider Identifier) number via the National Plan and Provider Enumeration System (NPPES), either online or offline, through a paper form.

• Time Investment: The process of application is very simple and efficient. It requires only 20 minutes, and the applicants usually receive their NPI number within 10 days.

• Steps for Individual Providers:

1. Create a username and password through the Identity & Access Management System.

2. Log in to NPPES using these credentials to start the application.

• Alternative Application Methods:

1. Use a paper form.

2. Apply through an organization that will submit the application on your behalf.

3. Complete instructions of the method of application are available on the CMS (Centers for Medicare & Medicaid Services) website.

• Importance of NPI:

1. NPI number is a mandatory identifier under HIPAA (Health Insurance Portability and Accountability Act) for keeping track of healthcare services and reimbursements.

2. Insurance companies will reject the claims without a valid, registered NPI. This underlines the importance of healthcare providers and organizations to secure this identifier.

How Do You Apply for an NPI?

NPI is very important for healthcare professionals. There are three simple and convenient methods for Obtaining an NPI.

Option 1: Online Application through NPPES

This is a quick process. There is a web application offered by the National Plan and Provider Enumeration System (NPPES). Users will have to create a Username and password first within the Identity & Access Management (I&A) System. With these credentials, individuals can then log into NPPES to complete their application. This method is the best for those who are comfortable with online systems.

Option 2: Mail-In Application

For applicants who favour using the traditional methods, a paper application is available. Users will have to complete, sign, and then mail the Form CMS-10114, NPI Application/Update Form, to the listed NPI Enumerator address. For more help if in case you require a hard copy of the form, it is available by contacting the NPI Enumerator directly at 800-465-3203 (or TTY 800-692-2326) or via email at customerservice[@]npienumerator.com. This option is perfect for those who prefer paper documentation over online filing.

Option 3: Bulk Application via EFIO

In case there are multiple applications that need to be submitted by organizations, this third option is the best. By granting permission to an Electronic File Interchange Organization (EFIO), applicants can have their data submitted through a bulk enumeration process.

Key Differences Between our NPI Lookup and other NPI Lookup Tools