Profile Picture Medicare Provider Enrollment

created Apr 10 2014

updated Mar 21 2019

Description

This crosswalk links the types of providers and suppliers who are eligible to apply for enrollment in the Medicare program with the appropriate Healthcare Provider Taxonomy Codes. This crosswalk includes the Medicare Specialty Codes for those provider/supplier types who have Medicare Specialty Codes. The Healthcare Provider Taxonomy Code Set is available from the Washington Publishing Company (www.wpc-edi.com) and is maintained by the National Uniform Claim Committee (www.nucc.org). The code set is updated twice a year, with the updates being effective April 1 and October 1 of each year. This document reflects Healthcare Provider Taxonomy Codes effective for use on April 2, 2018.
When changes are made to Medicare provider enrollment requirements, the Medicare Specialty Codes, or the Healthcare Provider Taxonomy Code Set, this document may need to be revised.
NOTE: This document does not alter existing Medicare claims preparation, processing, or payment instructions, nor does it alter existing Medicare provider enrollment requirements or policies.

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Meta
Category
Medicare - Enrollment
Permissions
Public
Tags
providers
Row Label
SODA2 Only
Yes
Common Core
Contact Name
CMS
Contact Email
providerenrollmentdatarequests@cms.hhs.gov
Bureau Code
009:38
Program Code
009:000
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