Complete Medicare Enrolled Healthcare Provider Data by Top Healthcare Data Provider
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- Medicare ENRL Provider Data
All Medicare enrolled healthcare professionals and organizations are assigned with
an enrolment id. NPI data provider services has combined the Medicare enrolment
data with NPI provider data. Well, if you are looking for a reliable source with simple
data layout, we are here at your service!
NPI Data Services is a leading healthcare data provider in US. Now, getting access
to a trustworthy and comprehensive dataset of US healthcare providers is very easy
and quick.
We are the Healthcare data provider in USA who updates the healthcare provider
database every month and this data is available in the form of commonly used CSV
file format. Our healthcare provider database consists of more than 7.0 million
National Provider Identifier (NPI) records of healthcare individual and organization
providers. Our entire provider dataset data links Medicare enrolled providers' PAC
ID, enrolment ID and NPI in a very easy-to-understand and easy-to-use data format.
This is what has made us as one of the leading NPI data provider in USA. We also
provide custom data provider services in the healthcare space.
Data Model and Layout
As a trusted NPI data provider in USA, we provide the healthcare data in easy-to-use CSV file format and it can be put in use immediately.
- Simplified data model is provided using 9 data files - entity_type.csv, people.csv, organization.csv, taxonomy.csv, otherid.csv, medicare_enrlmt.csv, location.csv, other_orgname.csv, and medicare_sec_specialty.csv.
- Each record in entity_type.csv file has a matching NPI record either in people.csv or in organization.csv. If a record in entity_type.csv has entity_type_cd as 1, it should have a data record in people.csv. If a record in entity_type.csv has entity_type_cd as 2, it should have a data record in organization.csv.
- Each record in entity_type.csv has a PECOS flag (in_pecos) to indicate if it is part of PECOS file, and also has a LEIE flag (in_leie) to indicate if it is part recent LEIE exclusion file. In addition, each record in entity_type.csv has the linkage to PECOS PAC ID and Enrolment ID, so linking NPI Data with PECOS data and vice versa are quick and easier across all files.
- Each record in entity_type.csv that has in_pecos flag as “Y” will have a matching Medicare Provider Enrolment data in medicare_enrlmt.csv
- Our entity_type.csv has the linkage to LEIE exclusions.csv using NPI. To perform further validations, the entire exclusions.csv is provided.
- Each provider record in entity_type.csv links up to 15 matching records in Taxonomies file (taxonomy.csv).
- Each healthcare provider record in entity_type.csv links up to 50 records in Other IDs file (otherid.csv).
- Each provider’s primary practice address, secondary practice address and business mailing address with the corresponding telephone and fax numbers are provided in Locations file (location.csv).
- Each provider record in organization.csv has first Other Name, while other_orgname.csv contains all additional Other Organization Names.
- Each record in medicare_sec_specialty.csv contains a unique listing of Enrolment ID and secondary speciality information pairs, for practitioner and DME supplier enrolments. This file can be linked to the entity_type.csv file using Enrolment ID or NPI.
| File Name | Field Name | Description | Data Type | Size |
|---|
Data Delivery
After successfully completing the payment process, the most current provider data files will be extracted and compressed and made available in the zip file format immediately for download . In case you missed to download, log in to your account and access the purchased files in the “Downloads” section under the “Account” menu.
Subscribe & Download
When you choose our Healthcare data provider services, we offer subscription for 1-year and 2-years with monthly and quarterly download options. We also offer one-time purchase and download, which means you can download the current data one time. To buy our complete US provider data, choose the one of the below subscription that fits your need, and click the corresponding ‘Add to Cart’ button below. Contact us if you have any questions.
Product Name |
Product Price |
Purchase Link |
|---|---|---|
| Medicare Enrolled Provider Data - One Time Download | $350 | |
| File size: 441.08 MB | Records Count: 2364187 | |
| Medicare Enrolled Provider Data - 1-year Quarterly Download | $900 | |
| File size: 441.08 MB | Records Count: 2364187 | |
| Medicare Enrolled Provider Data - 1-year Monthly Download | $2100 | |
| File size: 441.08 MB | Records Count: 2364187 | |
| Medicare Enrolled Provider Data - 2-years Quarterly Download | $1600 | |
| File size: 441.08 MB | Records Count: 2364187 | |
| Medicare Enrolled Provider Data - 2-years Monthly Download | $3600 | |
| File size: 441.08 MB | Records Count: 2364187 |
Custom Data Requirements & Support
Do you have provider data requirements with custom structure or layout? Do you want us to deliver the data in Microsoft Excel file (.xlsx), Microsoft Access file or any other file type? We can help. All you have to do is contact us and tell us your requirements. If you have any question, email us or use our contact us page, you will get a response within 2-business days.