Possible Ramifications of a National Provider Identification Registry

  • Using NPI, government will be able to track the residence, credentials, and practice of every health care provider in the nation. (from doctors to nursing assistants)
  • Government officials will be able to track not only providers who treat government recipients (Medicare and Medicaid participating providers), but all providers.
  • No provider will be able to relocate in the country without informing the government.
  • Personal and professional freedom may be jeopardized.
  • There are penalties for non-compliance.
  • Providers who fear government reprisal regarding treatment decisions may treat patients less or more aggressively than their professional judgment prescribes.
  • The enumeration and reporting system may further erode the number of citizens willing to train as medical professionals.
  • Since all health care transactions must use the federal NPI, government officials, through linkages, may be able to track individual patients through their providers without the patient's consent.
Summary of NPI
In the 1998 Omnibus Federal Appropriations bill, DHHS received money to help fund
implementation of the National Provider Identification system. Only the Patient ID was delayed.