National Plan and Provider
Enumeration System (NPPES) Supplemental Data Collection
(CMS-10749)
New
collection (Request for a new OMB Control Number)
No
Regular
04/08/2021
Requested
Previously Approved
36 Months From Approved
999,291
0
169,880
0
0
0
The National Provider Identifier
Application and Update Form is used by health care providers to
apply for NPIs and furnish updates to the information they supplied
on their initial applications. The form is also used to deactivate
their NPIs if necessary. The original application form was approved
in February 2005 and has been in use since May 23, 2005. The form
is available on paper or can be completed via a web-based process.
Health care providers can mail a paper application, complete the
application via the web-based process via the National Plan and
Provider Enumeration System (NPPES), or have a trusted organization
submit the application on their behalf via the Electronic File
Interchange (EFI) process. The Enumerator uses the NPPES to process
the application and generate the NPI. NPPES is the Medicare
contractor tasked with issuing NPIs, and maintaining and storing
NPI data. The National Provider Identifier (NPI) Application
processes over 1 million new provider and/or updates to existing
application annually.
None
US Code: 45 USC 170.401 Name of Law:
Information Blocking
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.