As a rendering physician, how should I report my NPI on a claim? Do I submit differently if I am a member of a group?

Answer:
If you provided the services as a part of group practice or organization, please submit the group’s National Provider Identifier (NPI) in item 33a as the billing provider NPI and your individual NPI in the shaded portion of item 24j as the rendering provider NPI. Your individual NPI must be entered in the unshaded portion of item 24j on each line that contains claim details.

If you provided the services as a solo practitioner and you do not have a group or practice NPI, submit your individual NPI in item 33a of the claim form. It is not necessary for you to enter your individual NPI in item 24J in this case. If you do enter your NPI in item 24J, you must enter it in the unshaded portion of item 24j on each line that contains claim details.

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