Make a Change to an IRS Number or NPI Number

What would you like to do? *

Update Requested By

Has this NPI been updated with Illinois Medicaid?

Please contact IMPACT. The IMPACT web portal can be found here

Update Requested By


This form will send your message to Meridian as an email. The email is not encrypted and is not transmitted in a secured format. By communicating with Meridian through email, you accept associated risks. Meridian does not accept responsibility or liability for any loss or damage arising from the use of email. To ensure the safety of your protected health information (PHI), please send us a message through the Secure Member or Provider portal.