legacy number and upin number – no need to print – individual and organization NPI is enough

legacy number and upin number – no need to print – individual and organization NPI is enough

Effective May 23, 2008

Only an NPI may be entered in any provider identifier fields on claims submitted on or after May 23, 2008. Claims will be rejected when submitted with a Medicare legacy number (PIN/PTAN) or a UPIN in any provider identifying field on or after May 23, 2008.

Type 1 is an individual NPI. Type 2 is an organizational NPI.

Incorporated Individual with individual legacy number and individual NPI:
24J – Enter nothing
33a – Enter type 1 Individual NPI

Incorporated Individual with individual legacy, group legacy, individual
NPI and group NPI:
24J – Enter type 1 Individual NPI
33a – Enter type 2 Corporation NPI

Sole Proprietor, not billing for an employee:
24J – Enter nothing
33a – Enter type 1 Individual NPI

Sole Proprietor, billing for an employee:
24J – Enter type 1 Employee individual NPI
33a – Enter type 1 Individual NPI in

Clinics and multiple group offices:
24J – Enter type 1 Individual NPI
33a – Enter type 2 Group NPI

Organizations/Facilities (e.g. ASC, Ambulance, IDTF, etc.):
24J – Enter nothing
33a – Enter type 2 Facility NPI

Provider set up as a group (individual and group legacy) and only one NPI:
Contact Provider Enrollment: (888) 608-8816 [Select Option 1]

Effective May 23, 2008

Only an NPI may be entered in any provider identifier fields on claims submitted on or after May 23, 2008. Claims will be rejected when submitted with a Medicare legacy number (PIN/PTAN) or a UPIN in any provider identifying field on or after May 23, 2008.

Type 1 is an individual NPI. Type 2 is an organizational NPI.

Incorporated Individual with individual legacy number and individual NPI:
24J – Enter nothing
33a – Enter type 1 Individual NPI

Incorporated Individual with individual legacy, group legacy, individual
NPI and group NPI:
24J – Enter type 1 Individual NPI
33a – Enter type 2 Corporation NPI

Sole Proprietor, not billing for an employee:
24J – Enter nothing
33a – Enter type 1 Individual NPI

Sole Proprietor, billing for an employee:
24J – Enter type 1 Employee individual NPI
33a – Enter type 1 Individual NPI in

Clinics and multiple group offices:
24J – Enter type 1 Individual NPI
33a – Enter type 2 Group NPI

Organizations/Facilities (e.g. ASC, Ambulance, IDTF, etc.):
24J – Enter nothing
33a – Enter type 2 Facility NPI

Provider set up as a group (individual and group legacy) and only one NPI:
Contact Provider Enrollment: (888) 608-8816 [Select Option 1]

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