42 CFR 455.440
§ 455.440 National Provider Identifier.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 455.440, § 455.440 National Provider Identifier, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/206576
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Full text
The State Medicaid agency must require all claims for payment for items and services that were ordered or referred to contain the National Provider Identifier (NPI) of the physician or other professional who ordered or referred such items or services.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.