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National Provider Identifier Standard (NPI)

EFI

On August 10, 2008, the National Plan and Provider Enumeration System (NPPES) will undergo system maintenance.  Neither NPPES nor the NPI Registry will be available on August 10, 2008.  CMS will be implementing some enhancements/updates to the system. Some of these enhancements/updates may impact health care provider's NPPES records. A detailed listing of the NPPES enhancements/updates is located in the Downloads section on the NPI Overview page.

For your convenience, the revised EFI documents (effective August 10, 2008) related to the changes internal to the EFI process are provided below. 

Electronic File Interchange (EFI), also referred to as "bulk enumeration," is a process by which a health care provider or group of providers can have a particular organization (the "EFIO") apply for National Provider Identifiers (NPI) on their behalf.   In other words, rather than a provider or group of providers submitting a paper or web NPI application, the EFIO obtains an NPI for him/her/them via the submission of an electronic file.  Because a file can contain thousands, even tens of thousands, of providers' applications, the administrative burden on both the provider community and CMS is greatly reduced when this process is utilized.

EFI is an alternative to health care providers having to apply for their NPIs via the web-based or paper application process. After the National Plan and Provider Enumeration System (NPPES) processes a file, it makes available to the organization a downloadable file containing the NPIs of the enumerated health care providers. Interested health industry organizations should avail themselves of the EFI materials available on this page and from the NPPES page (see Related Links Inside CMS section below) before downloading and completing the Certification Statement (available at the NPPES page) and registering as EFI Organizations. A completed Certification Statement must be approved by CMS before an interested health industry organization can participate in EFI.

Below are several documents that explain the EFI process in more detail:

  • EFI Summary - This document furnishes a general overview of how the EFI process works. (Revised as of 4/4/06)
  • EFI Certification Statement – Any organization (often referred to as an EFI Organization, or EFIO) that wishes to submit NPI files via EFI must complete and submit this certification statement to the NPI Enumerator.  We will be posting the certification statement on this page very shortly.  Note that EFIOs should not submit the certification statement prior to the availability of EFI.
  • EFI User Manual – This manual provides step-by-step instructions on how EFI works from a systems perspective.  Unlike the EFI Summary and FAQs document, which is geared more towards explaining the policy aspects of EFI, the User Manual contains screen prints, screen descriptions, etc., that show how EFI actually operates in practice.(Effective as of 8/10/08)
  • EFI Technical Companion Guide – This guide contains important information regarding the formatting of EFI files. (Effective as of 8/10/08)

NPI Question Resource Sheet

Many NPI questions that providers and their staff may have can be answered by the resources provided here on the CMS NPI page. The "NPI Question Resource Sheet" points to specific resources that can help answer common questions (see Downloads below).

Please note that CMS cannot respond individually to every question submitted as feedback via the website.  However, be assured that we are reviewing all questions to determine if new educational products or "Frequently Asked Questions (FAQs)" are needed or if revisions to existing products or FAQs are warranted.  Please bookmark this website and continue to check for updates to official information and education.  You can also visit the NPI Question Resource Sheet (see Downloads below) for resources on this website that will help answer common questions.

Downloads

EFI Summary - Effective 04/21/08 [PDF, 99KB]

EFI User Manual - Effective 08/10/08 [PDF, 721KB]

EFI Technical Companion Guide - Effective 08/10/08 [PDF, 2MB]

Sample EFI Schema - Effective 04/21/08 [PDF, 118KB]

Sample EFI File - New Applications - Effective 04/21/08 [PDF, 81KB]

Sample EFI File - Changes of Information - Effective 04/21/08 [PDF, 81KB]

Sample EFI Files in XML Format [ZIP 4KB]

NPI Question Resource Sheet [PDF, 35KB]

Related Links Inside CMS

Apply Now - National Plan and Provider Enumeration System (NPPES)

NPI Frequently Asked Questions (FAQs)

Related Links Outside CMS

There are no Related Links Outside CMS

 

Page Last Modified: 08/04/2008 8:11:20 AM
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