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National Provider Identifier Submission Form

The National Provider Identifier is an administrative simplification mandate of HIPAA that requires every health-care provider to obtain and use a unique 10-digit identifier (National Provider Identifier) by May 23, 2007. This identifier will replace all current health-care provider numbers used in HIPAA standard transactions. Please refer to the Centers for Medicare & Medicaid Services web site for additional information or click here to apply online for your NPI number.

You can use this form to submit your NPI number to Jefferson via U.S. Mail. If you have questions, feel free to call Joyce Mazingo, Director, Patient Accounting at 412-267-6050.

Download list of all NPIs

Disclaimer: Jefferson Regional Medical Center is taking reasonable care in obtaining and distributing NPI Numbers. This information is shared with you in good faith and is as accurate as Jefferson Regional Medical Center can make it.


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Jefferson Regional Medical Center
P.O. Box 18119
Pittsburgh, PA 15236
(412) 469-5000
Physician Referral:
(412) 469-7000
Community Programs:
(412) 469-7100



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