Membership information

Types of membership activities

New group to API

Adding a Physician to a Group Already Participating in API

Adding a Physician to a Group Already Participating in API

Applications to join API depending on specialty, and forms for your physicians to apply if you are not a single provider TIN

Adding a Physician to a Group Already Participating in API

Adding a Physician to a Group Already Participating in API

Adding a Physician to a Group Already Participating in API

If you are already participating in API, use this form to apply to add physicians to your group.

Form to Terminate a Physician From Your Group

Change Information for Physicians in Your Group

Change Information for Physicians in Your Group

Use this form to terminate a physician from PPLLC who is no longer a part of your group

Change Information for Physicians in Your Group

Change Information for Physicians in Your Group

Change Information for Physicians in Your Group

Use these forms to change demographic or non-demographic information for your group or a physician(s) in your group