Provider Types Subject to Providing Digital Contact Information

Provider Types Subject to Providing Digital Contact Information

Provider Types Subject to Providing Digital Contact Information

What types of providers (or clinicians) should add their digital contact information into the National Plan and Provider Enumeration System (NPPES)?

The types of providers and clinicians who should add their digital contact information into NPPES include those provider types listed below, who have, or may be eligible for a National Provider Identifier (NPI) number. Providers and clinicians who should enter digital contact information in NPPES include:

  • Physicians (including doctors of medicine, osteopathy, dental surgery, dental medicine, podiatric medicine, and optometry)
  • Osteopathic practitioners
  • Chiropractors
  • Physician assistants
  • Nurse practitioners
  • Clinical nurse specialists
  • Physical therapists
  • Occupational therapists
  • Clinical psychologists
  • Pharmacists
  • Qualified speech-language pathologists
  • Qualified audiologists

Do hospital-based medical professionals need to have a digital contact listed in the National Plan and Provider Enumeration System (NPPES)? Do these providers enter their own digital contact information, or may they use the hospitals digital contact information and enter that in NPPES?

CMS' policy of publicly reporting the names and National Provider Identifiers (NPIs) of those providers who do not have digital contact information included in the NPPES system applies to individual providers and clinicians, regardless of their affiliation or employment with a hospital (85 FR 25584). NPPES can now maintain information about the type of contact information for providers or clinicians and the organizations with which they are associated, along with the preferred uses for each digital address. Each provider (or clinician) in NPPES can maintain their own unique digital contact information or associate themselves with information shared with a hospital or among a group of providers or clinicians. Hospital-based providers or clinicians are included in this policy of public reporting of missing digital contact information in NPPES. Providers or clinicians who work for hospitals or facilities may choose to use their own digital contact or that of the hospital or facility by whom they are employed. See other questions in this document about the bulk data upload process for large organizations, including hospitals.

If an individual provider or clinician practices at multiple hospitals, facilities or practice locations, can they enter multiple digital contact addresses in the National Plan and Provider Enumeration System (NPPES), associated with their National Provider Identifier (NPI)?

Yes, NPPES allows providers or clinicians to add multiple digital contacts for multiple practice locations. Each endpoint listed by the provider should be associated with a practice location that is listed on the NPI record. Also, if the endpoint is associated with an organization, the provider clinician may add the organization information on the NPI record when adding the digital contact information.

Page Last Modified:
09/06/2023 05:05 PM