Changes in the Medicare enrollment process over the years have caused some differences between the NPI and Medicare identification number assignment process. This may require some physicians to complete a new Medicare enrollment form so that their NPI and Medicare “provider types” match.

Particularly affected are solo incorporated practices. Solo incorporated practices are required to obtain both an organizational NPI and an individual NPI. If you have two NPIs but only one Medicare provider number, a new CMS 855 application may be necessary.

Click here for memo from Medicare on this issue.

Contact: Frank Navarro, 916/ 551-2046 or gfonseca@cmanet.org.