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 NameField Description
PlacekeyPlacekey (unique identifier)
NPINational Provider Identifier
Entity Type CodeEntity Type Code
Replacement NPIReplacement 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 NameProvider First Name
Provider Middle NameProvider Middle Name
Provider Name Prefix TextProvider Name Prefix
Provider Name Suffix TextProvider Name Suffix
Provider Credential TextProvider Credential
Provider Other Organization NameProvider Other Organization Name
Provider Other Organization Name Type CodeProvider Other Organization Name Type Code
Provider Other Last NameProvider Other Last Name
Provider Other First NameProvider Other First Name
Provider Other Middle NameProvider Other Middle Name
Provider Other Name Prefix TextProvider Other Name Prefix
Provider Other Name Suffix TextProvider Other Name Suffix
Provider Other Credential TextProvider Other Credential
Provider Other Last Name Type CodeProvider Other Last Name Type Code
Provider First Line Business Mailing AddressProvider First Line Business Mailing Address
Provider Second Line Business Mailing AddressProvider Second Line Business Mailing Address
Provider Business Mailing Address City NameProvider Business Mailing Address City Name
Provider Business Mailing Address State NameProvider Business Mailing Address State Name
Provider Business Mailing Address Postal CodeProvider 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 NumberProvider Business Mailing Address Telephone Number
Provider Business Mailing Address Fax NumberProvider Business Mailing Address Fax Number
Provider First Line Business Practice Location AddressProvider First Line Business Practice Location Address
Provider Second Line Business Practice Location AddressProvider Second Line Business Practice Location Address
Provider Business Practice Location Address City NameProvider Business Practice Location Address City Name
Provider Business Practice Location Address State NameProvider Business Practice Location Address State Name
Provider Business Practice Location Address Postal CodeProvider 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 NumberProvider Business Practice Location Address Telephone Number
Provider Business Practice Location Address Fax NumberProvider Business Practice Location Address Fax Number
Enumeration DateEnumeration Date
Last Update DateLast Update Date
NPI Deactivation Reason CodeNPI Deactivation Reason Code
NPI Deactivation DateNPI Deactivation Date
NPI Reactivation DateNPI Reactivation Date
Provider Gender CodeProvider Gender Code
Authorized Official Last NameAuthorized Official Last Name
Authorized Official First NameAuthorized Official First Name
Authorized Official Middle NameAuthorized Official Middle Name
Authorized Official Title or PositionAuthorized Official Title or Position
Authorized Official Telephone NumberAuthorized 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.