San Francisco Health Plan: Providers: Provider Resources: National Provider Identifier

National Provider Identifier

HIPAA has affected nearly everyone in health care since its 1996 inception. One of the latest requirements is the introduction of a National Provider Identifier (NPI). With the NPI on the horizon, you may have questions about how it may affect your practice and your interaction with San Francisco Health Plan as well as other health plans. We've put together some basic information, including a list of frequently asked questions, to help you understand the regulation and its requirements.

The deadline for acquiring a National Provider Identification number, May 23, 2007, has passed.

If you have not been assigned a number, please contact Charlie Farrell at (415) 615-4225.

Now that you have received your NPI, please send a copy of your notification letter to SFHP at:

San Francisco Health Plan
Claims & Encounters Department
201 Third Street , 7 th Floor
San Francisco , CA 94103
Phone: (415) 615-4400
Fax: (415) 615-4300

Once we have received your NPI notification letter, we will input the NPI number into our system. We are working to make this transition as smooth as possible for you and receiving your NPI number in advance will help us to do this. SFHP requests that providers wait until you receive notification from us before using it on claims and other transactions. Note: This number does NOT replace your Tax identification number, so please continue to use that number so payment is made to the correct entity.

If you have any questions that are not answered by the links below, please contact Stella Cao at (415) 615-4225 or via email at scao@sfhp.org.

Download more information or forms at your convenience:

For more in-depth information on NPI, go to the following websites:

To learn more: https://nppes.cms.hhs.gov
More background and tips from the Centers for Medicare and Medicaid Services: http://www.cms.hhs.gov/NationalProvIdentStand