Anthem npi 2026

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The document is a National Provider Identifier (NPI) Registration Form for providers to register their NPI with Anthem Blue Cross and Blue Shield. It requests specific information such as provider name, practice or facility name, Anthem Provider ID, Tax ID, NPI, and Taxonomy Code. Providers who have already registered their NPI do not need to respond. The completed form should be faxed to the provided number.

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Click ‘Get Form’ to open the anthem NPI registration form in the editor.
Begin by entering your Provider Name, which is required for physicians or professionals only.
Next, fill in the Practice or Facility Name. This field is mandatory and should reflect your official practice name.
Input your Anthem Provider ID Number, ensuring it consists of 13 positions as specified.
Enter your Tax ID Number, which must be 9 positions long. This is crucial for identification purposes.
Provide your NPI, a 10-position number that uniquely identifies you as a healthcare provider.
Lastly, include your Taxonomy Code, which should also be 10 positions long and indicates your specialty.

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