NPI
HealthcareNational Provider Identifier, a unique 10-digit identification number required for all healthcare providers in the United States. Assigned by CMS (Centers for Medicare & Medicaid Services), the NPI is used in all HIPAA-regulated transactions including electronic billing, referrals, and prescriptions.
Related terms
Covered Entity
Under HIPAA, a health plan, healthcare clearinghouse, or healthcare provider that transmits health information electronically. Covered entities must comply with all HIPAA regulations including the Privacy Rule, Security Rule, and Breach Notification Rule. Most healthcare practices using digital intake forms are covered entities.
HIPAA
Health Insurance Portability and Accountability Act, a US federal law enacted in 1996 that establishes national standards for protecting sensitive patient health information. HIPAA includes the Privacy Rule (who can access PHI), the Security Rule (technical safeguards required), and the Breach Notification Rule (what to do if data is compromised). Any healthcare provider or vendor handling patient data must comply.
