C.F.R. » Title 45 » SUBCHAPTER C—ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS › PART 162—ADMINISTRATIVE REQUIREMENTS › Subpart D—Standard Unique Health Identifier for Health Care Providers

45 C.F.R. § 162.406

Standard unique health identifier for health care providers

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(a) Standard. The standard unique health identifier for health care providers is the National Provider Identifier (NPI). The NPI is a 10-position numeric identifier, with a check digit in the 10th position, and no intelligence about the health care provider in the number.

(b) Required and permitted uses for the NPI. (1) The NPI must be used as stated in §§ 162.410, 162.412, and 162.414.

(2) The NPI may be used for any other lawful purpose.

Notes of Decisions
Cited in 4 cases (1 in the last 5 years), 2012–2021 · leading case: Ass'n of Am. Physicians & Surgeons, Inc. v. Sebelius, 901 F. Supp. 2d 19 (D.D.C. 2012).
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Ass'n of Am. Physicians & Surgeons, Inc. v. Sebelius, 901 F. Supp. 2d 19 (D.D.C. 2012). · cites it 5× “45 C.F.R. § 162.406 (2012). A physician may obtain a free NPI by submitting an application, in paper or online, containing basic information about herself, her practice, and her specialty.”
United States ex rel. Phalp v. Lincare Holdings, Inc., 116 F. Supp. 3d 1326 (S.D. Fla. 2015). · cites it 2× “408 ; 45 C.F.R. § 162.406 ; (DE 75 ¶ 13). DME-POS suppliers like Lineare are known as organization health care providers, which may be eligible for multiple NPIs based on the number and nature of their subparts.”
Am. Clinical Lab'y Ass'n v. Azar (D.D.C. 2021). “at 41,042, citing 45 C.F.R. § 162.406 (2004); 80 Fed. Reg. 59,386 , 59,392 (Oct.”
Christman, M.D. v. State of Delaware (Del. 2014). “See Standard Unique Health Identifier for Health Care Providers, 45 C.F.R. § 162.406 (2005). 2 The MERB opinion defined a standing order as “a written document containing rules, policies, procedures, regulations, and orders for the conduct of patient care by non-physicians in…”
— 45 C.F.R. § 162.406(b)(2) — 1 case
Ass'n of Am. Physicians & Surgeons, Inc. v. Sebelius, 901 F. Supp. 2d 19 (D.D.C. 2012). “45 C.F.R. § 162.406 (2012). A physician may obtain a free NPI by submitting an application, in paper or online, containing basic information about herself, her practice, and her specialty.”
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