# National Provider Identifier

Type: Technology

Source: GetYourBrief — https://getyourbrief.com/entity/national-provider-identifier
Canonical HTML page: https://getyourbrief.com/entity/national-provider-identifier

## Timeline

- **2028-01-01**: Enforcement Begins — Mandatory NPI and attestation requirements take full effect for Medicare reimbursement eligibility.
- **2028-01-01**: Enforcement Begins — Medicare payments will be withheld from off-campus HOPDs that lack a unique NPI and valid attestation.
- **2027-12-31**: Attestation Deadline — Final date for hospitals to submit initial provider-based attestations for existing off-campus sites.
- **2027-12-31**: Initial Filing Deadline — Final day for hospitals to submit initial attestations for all existing off-campus departments.
- **2026-02-03**: Legislation Enacted — President signs the Consolidated Appropriations Act of 2026, ending the voluntary attestation era.
- **2026-02-03**: Legislation Enacted — President signs the Consolidated Appropriations Act of 2026 into law.
- **2026**: CMS Rulemaking — CMS expected to establish the formal process and portal for NPI and attestation submissions.

## Recent coverage (2 stories, network-wide)

### Hospitals Face Mandatory NPI and Attestation Rules for Off-Campus Departments
2026-02-25 23:30:20 · Sector: health · Sentiment: Negative · Impact: 7/10 · Sources: 2

The Consolidated Appropriations Act of 2026 mandates that all off-campus hospital outpatient departments (HOPDs) obtain unique National Provider Identifiers and submit formal provider-based attestations. This regulatory shift ends the long-standing voluntary compliance system and sets a hard enforcement deadline of January 1, 2028.
Full story: https://gethealthbrief.com/story/mandatory-npi-attestation-off-campus-hopd-2026

### Hospitals Face 2028 Deadline for Mandatory Off-Campus NPI and Attestations
2026-02-25 23:27:33 · Sector: legal · Sentiment: Negative · Impact: 7/10 · Sources: 2

The Consolidated Appropriations Act of 2026 mandates that all off-campus hospital outpatient departments (HOPDs) obtain unique National Provider Identifiers and submit formal compliance attestations. Hospitals must meet these new transparency requirements by January 1, 2028, to maintain eligibility for Medicare payments under the Outpatient Prospective Payment System.
Full story: https://getlegalbrief.com/story/mandatory-hopd-npi-attestation-requirements-2028

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