![]() The NPI will be used by HIPAA-covered entities (e.g., health plans, health care clearinghouses, and certain health care providers) to identify health care providers in HIPAA standard transactions. Who must obtain NPI? : All health care providers who are HIPAA-covered entities, whether they are individuals (e.g., physicians, nurses, dentists, chiropractors, physical therapists, or pharmacists) or organizations (e.g., hospitals, home health agencies, clinics, nursing homes, residential treatment centers, laboratories, ambulance companies, group practices, Health Maintenance Organizations, suppliers of durable medical equipment, pharmacies) must obtain an NPI. Organization health care providers (e.g., hospitals, home health agencies, ambulance companies) are considered Entity Type 2 (Organization) providers. Sole proprietors and sole proprietorships are Entity Type 1 (Individual) providers. Entity Type 1 providers are individual providers who render health care (e.g., physicians, dentists, nurses). There are two categories of health care providers for NPI enumeration purposes. ![]() Where NPI should be used? : The NPI must be used in place of legacy provider identifiers, such as a Unique Provider Identification Number (UPIN), Online Survey Certification & Reporting (OSCAR) and National Supplier Clearinghouse (NSC) in HIPAA standard transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act). The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). What is a NPI Number? : The National Provider Identifier (NPI) is a unique identification number for covered health care providers. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Internal Medicine - Endocrinology, Diabetes & MetabolismĪn internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. Provider Business Mailing Address Details: Provider Business Practice Location Address Details:ġ Barnes Jewish Hospital Plz, Div Im Endocrinology An individual provider can have more than one PTAN number but only one NPI Number. A PTAN is a Medicare-only number issued to providers by MACs upon enrollment to Medicare - it is also sometimes called Medicare ID or Medicare PIN. Medicare UPIN has been replaced by NPI and is no longer used. There are many medicare related identifications related to medicare providers. Yes - The physician accepts the Medicare-approved amount you will not be billed for any more than the Medicare deductible and coinsurance. Paulina Cruz Bravo participate in Medicare program. Internal Medicine - Endocrinology, Diabetes & Metabolism, Internal Medicineĭr. Paulina Cruz Bravo graduated from medical school in 2009. Paulina Cruz Bravo through mail at her mailing address at 660 S Euclid Ave, Cb 8127, Saint Louis, Missouri - 63110-1010 (mailing address contact number - 31).ĭr. Her current practice location address is 1 Barnes Jewish Hospital Plz, Div Im Endocrinology, Saint Louis, Missouri and she can be reached out via phone at 31 and via fax at 31. Paulina Cruz Bravo is 1174849368 and she holds a License No. She practices in Saint Louis, Missouri and has the professional credentials of MD. Paulina Cruz Bravo is a physician based out of Saint Louis, Missouri and her medical specialization is Internal Medicine - Endocrinology, Diabetes & Metabolism.
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