Anthem npi 2025

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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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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (266 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the difference between Anthem and Blue Shield of California?

Anthem is part of the Blue Cross Blue Shield group. Blue Cross Blue Shield is made up of independent companies. Anthem is one of these companies. Other Blue Cross Blue Shield brands include Highmark, Regence and CareFirst.

Is Anthem the same as Blue Cross in California?

Medi-Cal Managed Care (Medi-Cal) Anthem Blue Cross is the trade name of Blue Cross of California.

What is the payer ID for Anthem Blue Cross and Blue Shield?

Anthem payer name and ID: Your Payer Name is Anthem BlueCross and Blue Shield (Anthem) Your Payer ID is 27514. Note: If you use a billing company or clearinghouse for your EDI transmissions, please work with them on which payer ID they want you to use.