UnitedHealthcare is collecting NPI and related information from physicians, health care professionals, facilities and ancillary providers that have been enumerated.  The NPI information we would like to collect includes:

For Both Individual (Type 1) Providers and Organizations (Type 2) Providers:

•  NPI (or multiple NPIs where applicable) - your 10-digit National Provider Identifier
•  NPI Issue Date - date you received your NPI (MM/DD/YYYY)
•  NUCC Taxonomy Code(s) - a ten alpha-number character entered on the NPI application to designate your provider type designation or specialty for use in HIPAA transactions.  Please include each NUCC Taxonomy Code listed on your NPI application    
•  Name - the name you used on the NPI application
• Tax Identification Number - the tax identification number tied to the NPI information being submitted on the form. 

Additionally, for Organization and Facility (Type 2) Providers that have more than one NPI, include the following information:

•  Organization or Subpart Name - the organization or subpart name associated with the NPI
•  Basis for NPI (rationale for each) using one of the basis codes shown here and the corresponding information:

Basis Codes

•  C = Entity whose name is on the W-9 and Tax ID that the NPI was based on.
•  T = Tax Identification Number (TIN) and Provider Name that the NPI was based on, where the provider is not the same on the W-9.
•  L = License or Certification (include state or state code and license number that the NPI was based on).
•  X = Taxonomy code that the NPI was based on.
•  P = Place of Service or by location (provide the street address that the NPI was based on).
•  D = Department name that the NPI was based on.
•  O = (Other) Describe basis for NPI; specify details for selecting other.

NPI Submission

1. Call the UnitedHealthcare for Health Care Professionals telephone line (United Voice Portal) at 1-877-842-3210. Select the "Health Care Professional Services" prompt.  State "Demographic changes" and your call will be directed to the Service Center to collect your NPI, corresponding NUCC Taxonomy Codes, and other NPI related information.

2. Fax your NPI and Related Information - the NPI Provider Data Fax Form has been updated to include NPI, NUCC Taxonomy Codes and other NPI related information.  The form can be downloaded from the link below.