Want timely claim payments and more new patients?

Two ways to update:

Use these convenient online tools to keep your NPI-related practice/provider information accurate.

Provider DataPoint: Use our web-based provider data management tool to submit real-time changes:

• Change practice information, including name, phone, fax, address, billing information, NPI, and the like
• Add/delete a location for your already-contracted practice/group
• Change provider information, including name, specialty, and panel status; add a language, and more
• Add a provider who needs credentialing to your practice
• Terminate a provider from your practice/group
• Check the status of a previously submitted data change-request

• National Plan and Provider Enumeration System (NPPES): CMS now allows providers to use NPPES to certify NPI data. Find information and FAQs about NPPES as a reliable source for provider directory data at NPPES Information. Questions about NPPES? Contact [email protected].

Tips for practice administrators:

• Set a monthly tickler reminder to check provider/practice information in Provider DataPoint.
• We no longer accept NPI-related updates/changes and credentialing applications via email or fax. They must be submitted online via Provider DataPoint.
• Radiologists, anesthesiologists, and midlevel providers such as nurse practitioners and physician assistants who do not practice as PCPs do not require credentialing.
• For more information on Provider Demographic Updates, please review this section in our Provider Manual: Provider Demographic Updates.