R -- National Provider Identifier Enumerator

The contract focuses on implementing the administrative simplification provisions of HIPAA by adopting the National Provider Identifier (NPI) as the standard health care provider identifier. The Centers for Medicare & Medicaid Services (CMS) uses the National Plan and Provider Enumeration System (NPPES) to assign NPIs, maintain provider information, and distribute this data across the healthcare industry. The contract outlines the role of the Enumerator, who is responsible for entering provider information into the NPPES, notifying providers of their NPIs, assisting with inquiries, and handling both paper and internet-based applications. The NPPES also performs data validation tasks, including checking consistency, formatting addresses, verifying Social Security Numbers, and identifying existing NPIs in the system. The document is a draft Statement of Work (SOW) issued by CMS along with a request for information to gather industry feedback on the NPI implementation, explicitly noting that it is not a request for proposals. The solicitation is identified as Reference-Number-RFI-NPI-04-0001 under NAICS code 541990 and was posted on May 13, 2004. Points of contact include the Contract Specialist, Darrell E. Bachman, and the Contracting Officer, Leisa J. Bodway. The contract relates to the administrative and technical processes involved in ensuring healthcare providers are uniquely and accurately identified within the national healthcare system to support streamlined data exchange and regulatory compliance.