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CFR › Title 45 › Subtitle A › Subchapter C › Part 162 › Subpart D › Section 162.410

45 CFR 162.410 - Implementation specifications: Health care providers.

There is 1 rule appearing in the Federal Register for 45 CFR 162. Select the tab below to view, or View eCFR (GPOAccess)
§ 162.410
Implementation specifications: Health care providers.
(a) A covered entity that is a covered health care provider must:
(1) Obtain, by application if necessary, an NPI from the National Provider System (NPS) for itself or for any subpart of the covered entity that would be a covered health care provider if it were a separate legal entity. A covered entity may obtain an NPI for any other subpart that qualifies for the assignment of an NPI.
(2) Use the NPI it obtained from the NPS to identify itself on all standard transactions that it conducts where its health care provider identifier is required.
(3) Disclose its NPI, when requested, to any entity that needs the NPI to identify that covered health care provider in a standard transaction.
(4) Communicate to the NPS any changes in its required data elements in the NPS within 30 days of the change.
(5) If it uses one or more business associates to conduct standard transactions on its behalf, require its business associate(s) to use its NPI and other NPIs appropriately as required by the transactions that the business associate(s) conducts on its behalf.
(6) If it has been assigned NPIs for one or more subparts, comply with the requirements of paragraphs (a)(2) through (a)(5) of this section with respect to each of those NPIs.
(b) A health care provider that is not a covered entity may obtain, by application if necessary, an NPI from the NPS.

Title 45 published on 2012-10-01

The following are only the Rules published in the Federal Register after the published date of Title 45.

For a complete list of all Rules, Proposed Rules, and Notices view the Rulemaking tab.

  • 2012-10-04; vol. 77 # 193 - Thursday, October 4, 2012
    1. 77 FR 60629 - Administrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to the Compliance Date for the International Classification of Diseases, 10th Edition (ICD-10-CM and ICD-10-PCS) Medical Data Code Sets; Corrections
      GPO FDSys XML | Text
      DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services
      Correction of final rule.
      Effective Date: November 5, 2012.
      45 CFR Part 162

This is a list of United States Code sections, Statutes at Large, Public Laws, and Presidential Documents, which provide rulemaking authority for this CFR Part.

This list is taken from the Parallel Table of Authorities and Rules provided by GPO [Government Printing Office].

It is not guaranteed to be accurate or up-to-date, though we do refresh the database weekly. More limitations on accuracy are described at the GPO site.

United States Code
U.S.C. : Title 42 - THE PUBLIC HEALTH AND WELFARE

§ 1320d - Definitions

42 USC § 1320d–1 - General requirements for adoption of standards

42 USC § 1320d–2 - Standards for information transactions and data elements

42 USC § 1320d–3 - Timetables for adoption of standards

42 USC § 1320d–4 - Requirements

42 USC § 1320d–5 - General penalty for failure to comply with requirements and standards

42 USC § 1320d–6 - Wrongful disclosure of individually identifiable health information

42 USC § 1320d–7 - Effect on State law

42 USC § 1320d–8 - Processing payment transactions by financial institutions

42 USC § 1320d–9 - Application of HIPAA regulations to genetic information

Title 45 published on 2012-10-01

The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 45 CFR 162 after this date.

  • 2012-10-04; vol. 77 # 193 - Thursday, October 4, 2012
    1. 77 FR 60629 - Administrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to the Compliance Date for the International Classification of Diseases, 10th Edition (ICD-10-CM and ICD-10-PCS) Medical Data Code Sets; Corrections
      GPO FDSys XML | Text
      DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services
      Correction of final rule.
      Effective Date: November 5, 2012.
      45 CFR Part 162