NPI SUBMITTAL FORM | NPI SUBMITTAL FORM
PDF version to fax/mail | Word document to email

For more information about the National Provider Identifier (NPI) and how to apply, go to the CMS Website



Request Fee Reimbursement Amounts

Please submit 10-20 of your most used codes along with your fee and tax identification number. Fax this to the attention of Provider Relations at 330-996-8211. Requests will be returned that are missing this information. Thank you!



PROVIDER MANUAL - POSTED AUGUST 2004