A Type 1 NPI is a unique, 10-digit identification number assigned to individual healthcare providers. This includes doctors, dentists, therapists, or any licensed medical professional who provides healthcare services directly to patients.

The difference between Type 1 and Type 2 National Provider Identifiers (NPIs) is fundamental to understanding how healthcare providers interface with the billing and insurance systems in the United States.

Apply for National Provider Identifier (NPI)¶ Apply for a Type 1 individual Provider NPI or Type 2 Organization NPI. Individual Providers can only have one NPI, however, Organization Providers can have multiple NPIs.

May 23, 2007 · You will need an NPI prior to enrolling with Medicare. There are two types of health care providers in terms of NPIs: Type 1— Health care providers who are individuals, including physicians, dentists, and all sole proprietors. An individual is eligible for only one NPI.

In terms of NPI assignment, a sole proprietor is an Entity type 1 (Individual) and is eligible for only one NPI (the sole proprietorship business is not eligible for its own NPI). As an individual, a sole proprietorship cannot be a subpart and cannot have subparts.

Type 1: For individual health care providers, such as physicians, nurse practitioners and sole proprietors. Individuals are only eligible for one NPI. Type 2: For health care organizations, such as hospitals, nursing homes, and physician groups. Organizations can have multiple NPIs.

There are two categories of health care providers for NPI enumeration purposes: Entity Type 1 (Individual) and Entity Type 2 (Organization).

A Type 1 NPI, also known as an Individual NPI, is assigned to individual healthcare providers like physicians, nurses, or dentists. If you’re a solo practitioner submitting claims under your name and Social Security number, you’ll need a Type 1 NPI.

In simple words, NPI Type 1 is for individual health providers, such as dentists or family physicians, while NPI Type 2 is for incorporated businesses, such as practices, groups, and hospitals. That’s why they’re also called Individual NPI and group NPI, respectively.

Jan 29, 2025 · There are two types of NPIs issued by CMS: Type 1 NPIs: Individual healthcare providers such as physicians, nurses, or dentists. Type 1 NPIs are personal and can only be assigned to one eligible provider. Type 2 NPIs: Organizations, such as hospitals, group practices, or healthcare facilities.