National Provider Identifier deep dive

Everything You Need to Know About National Provider Identifier Registry

The National Provider Identifier (NPI) Registry is a comprehensive database of health care providers in the United States, maintained by the Centers for Medicare & Medicaid Services (CMS). It provides access to publicly available data, including unique NPI numbers, addresses, and taxonomy codes for individual providers and organizations. This resource is essential for identifying and verifying registered health care entities .

Data Schema

Field Name Field Description
Placekey Placekey (unique identifier)
NPI National Provider Identifier
Entity Type Code Entity Type Code
Replacement NPI Replacement National Provider Identifier
Employer Identification Number (EIN) Employer Identification Number
Provider Organization Name (Legal Business Name) Provider Organization Name
Provider Last Name (Legal Name) Provider Last Name
Provider First Name Provider First Name
Provider Middle Name Provider Middle Name
Provider Name Prefix Text Provider Name Prefix
Provider Name Suffix Text Provider Name Suffix
Provider Credential Text Provider Credential
Provider Other Organization Name Provider Other Organization Name
Provider Other Organization Name Type Code Provider Other Organization Name Type Code
Provider Other Last Name Provider Other Last Name
Provider Other First Name Provider Other First Name
Provider Other Middle Name Provider Other Middle Name
Provider Other Name Prefix Text Provider Other Name Prefix
Provider Other Name Suffix Text Provider Other Name Suffix
Provider Other Credential Text Provider Other Credential
Provider Other Last Name Type Code Provider Other Last Name Type Code
Provider First Line Business Mailing Address Provider First Line Business Mailing Address
Provider Second Line Business Mailing Address Provider Second Line Business Mailing Address
Provider Business Mailing Address City Name Provider Business Mailing Address City Name
Provider Business Mailing Address State Name Provider Business Mailing Address State Name
Provider Business Mailing Address Postal Code Provider Business Mailing Address Postal Code
Provider Business Mailing Address Country Code (If outside U.S.) Provider Business Mailing Address Country Code
Provider Business Mailing Address Telephone Number Provider Business Mailing Address Telephone Number
Provider Business Mailing Address Fax Number Provider Business Mailing Address Fax Number
Provider First Line Business Practice Location Address Provider First Line Business Practice Location Address
Provider Second Line Business Practice Location Address Provider Second Line Business Practice Location Address
Provider Business Practice Location Address City Name Provider Business Practice Location Address City Name
Provider Business Practice Location Address State Name Provider Business Practice Location Address State Name
Provider Business Practice Location Address Postal Code Provider Business Practice Location Address Postal Code
Provider Business Practice Location Address Country Code (If outside U.S.) Provider Business Practice Location Address Country Code
Provider Business Practice Location Address Telephone Number Provider Business Practice Location Address Telephone Number
Provider Business Practice Location Address Fax Number Provider Business Practice Location Address Fax Number
Enumeration Date Enumeration Date
Last Update Date Last Update Date
NPI Deactivation Reason Code NPI Deactivation Reason Code
NPI Deactivation Date NPI Deactivation Date
NPI Reactivation Date NPI Reactivation Date
Provider Gender Code Provider Gender Code
Authorized Official Last Name Authorized Official Last Name
Authorized Official First Name Authorized Official First Name
Authorized Official Middle Name Authorized Official Middle Name
Authorized Official Title or Position Authorized Official Title or Position
Authorized Official Telephone Number Authorized Official Telephone Number

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Geography

The United States

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Frequently Asked Questions

What is National Provider Identifier?
The National Provider Identifier (NPI) Registry is a free dataset of healthcare providers in the United States, containing millions of unique identifiers (NPI numbers) for individual practitioners and organizations. It provides essential details such as provider names, addresses, and specialties, supporting the identification and verification of healthcare entities.
What is the history of this dataset?

Established by the Centers for Medicare & Medicaid Services (CMS), the National Provider Identifier (NPI) Registry is managed by CMS. It provides a comprehensive database of healthcare providers in the U.S., enabling accurate identification and management of healthcare professionals for billing and administrative purposes.

How often is the data updated?

Monthly

What is the coverage and what is included in this dataset?
The National Provider Identifier (NPI) Registry covers healthcare providers across the United States. It includes a comprehensive list of over 6 million healthcare professionals, including physicians, nurses, and other healthcare practitioners. The dataset features details such as provider names, NPI numbers, practice addresses, specialties, and license information. This extensive coverage and detailed information make the NPI Registry a crucial resource for verifying provider identities, managing healthcare records, and supporting various healthcare administration tasks.
Why is National Provider Identifier valuable?

The NPI Registry is valuable because it provides a comprehensive and searchable directory of healthcare providers, ensuring accurate identification and facilitating administrative processes in healthcare management and billing.

How do I join this dataset with other datasets?
NPI data can be easily appended with a Placekey (a open matching service for physical places).  Once the NPI data is appended with a Placekey, it can be easily joined with any other dataset that has a postal address or physical address.

Dataset at a glance

Dataset Name
National Provider Identifier
Description
Open health care provider data in the United States
Update Frequency
Monthly
Coverage
The United States
Data Quality
Not assessed
Dataset Size
5M Rows
Maintained By

The United States Dept. of Health and Human Services

License

This dataset is public; see the FAQ for details.