ˈɔːl ˌɪndᵻvˈɪdʒuːəl hˈɪpɑː kˈʌvɚd hˈɛlθkɛɹ pɹəvˈaɪdɚz ɔːɹ ˌɔːɹɡɐnᵻzˈeɪʃənz mˈʌst əbtˈeɪn ɐn ˌɛnpˌiːˈaɪ fɔːɹ jˈuːs ɪn ˈɔːl hˈɪpɑː stˈændɚd tɹænsˈækʃənz, ˈiːvən ɪf ɐ bˈɪlɪŋ ˈeɪdʒənsi pɹɪpˈɛɹz ðə tɹænsˈækʃən.
All individual HIPAA–covered healthcare providers or organizations must obtain an NPI for use in all HIPAA standard transactions, even if a billing agency prepares the transaction.