NPI Registry Resources & Official Links
Useful links for providers, billers, credentialing staff, and developers.
NPI Registry (NPPES)
NPPES NPI Registry
The authoritative source for NPI numbers. Look up any US healthcare provider, update your own NPI record, and download the full NPI registry data file.
Look up NPI on NPPES →NPPES Application Portal
Apply for a new NPI, update your existing NPI record, manage authorized officials, and handle deactivations through the official CMS portal.
Update provider data →NPI Registry Data Dissemination
Download the full NPPES NPI Registry data file (updated monthly). The full replacement file contains all active NPI records and is available for free.
download.cms.gov/nppes →NPI Lookup — Provider Search
Search 9,200,000+ US providers by name, NPI, taxonomy, or location. Includes PECOS enrollment status and OIG exclusion flags.
Search providers →PECOS Medicare Enrollment
PECOS Provider Enrollment Portal
The official CMS portal for Medicare provider enrollment. Submit new enrollment applications, update existing enrollments, and manage revalidation.
CMS PECOS Portal →Medicare Ordering & Referring
CMS's lookup for verifying that an ordering or referring physician is enrolled in Medicare — required for home health, DME, lab, and imaging claims.
data.cms.gov →Medicare Physician Compare Data
CMS's public dataset of Medicare-enrolled physicians and clinicians, including PAC IDs, practice locations, and quality metrics. Available on data.cms.gov.
data.cms.gov →PECOS Lookup — PAC ID & Enrollment ID
Verify Medicare enrollment by PAC ID or Enrollment ID. See provider type, practice address, and linked NPI number.
PECOS Lookup →CMS Contacts & Support
CMS Contact Directory
Official CMS contact information for Medicare provider inquiries, NPI registration support, PECOS enrollment questions, and billing assistance. Includes Medicare Administrative Contractor (MAC) contacts.
CMS contact directory →Provider Intelligence
Provider Signals — New-Provider Alerts
90K+ new NPIs are enumerated every month. Get alerted when a new doctor, specialist, or practice opens in your territory — by specialty and geography. Free plan available: 3 territories, weekly alerts, no card.
Provider change monitoring →Compliance
OIG LEIE Exclusion Search
The official OIG tool to search the List of Excluded Individuals and Entities (LEIE). Search by name, NPI, or other identifiers to verify a provider is not excluded.
Check OIG exclusions → NPI-enriched LEIE Lookup (free) →LEIE Downloadable Data File
Monthly download of the complete LEIE database in CSV format. Used for automated batch screening of provider panels against OIG exclusions.
oig.hhs.gov/exclusions →OIG Advisory Opinions & Guidance
Official OIG guidance on compliance program requirements, exclusion authorities, and the consequences of employing excluded providers.
oig.hhs.gov/compliance →Provider Signals Risk — Automated LEIE Monitoring
Automated monthly LEIE screening for your full provider panel. Receive alerts when any provider's exclusion status changes. Free for up to 25 providers.
Provider Signals Risk — continuous OIG exclusion screening. Free for up to 25 providers →Taxonomy Codes
NUCC Health Care Provider Taxonomy
The authoritative source for NUCC taxonomy codes. The NUCC publishes the official code set used in NPI records, HIPAA transactions, and claims processing.
NUCC official code list →Taxonomy Reference
Browse all 400+ NUCC taxonomy codes organized by specialty group. Look up any code's official description, grouping, and provider count.
Taxonomy reference →Developer & API Resources
NPI Registry REST API
Programmatic access to all 9M+ provider records. Search by name, NPI, taxonomy, and location. Includes PECOS enrollment and LEIE status. Free trial available.
Programmatic NPI access →CMS Data.cms.gov APIs
Official CMS open data APIs covering Medicare enrollment, claims, cost reports, and quality data. Includes the NPI Registry, Physician Compare, and PECOS datasets.
data.cms.gov →NPPES Public API
CMS's free public REST API for the NPPES NPI Registry. Allows up to 1,200 requests per minute. Returns basic NPI record data without PECOS or LEIE status.
npiregistry.cms.hhs.gov/api-page →Standards & Regulations
NPI Final Rule (45 CFR Part 162)
The regulatory framework establishing the NPI as the standard healthcare provider identifier. Published under HIPAA administrative simplification requirements.
cms.gov →Exclusion Authorities (42 USC 1320a-7)
The statutory basis for OIG exclusion authority under the Social Security Act. Covers mandatory and permissive exclusions, reinstatement procedures, and civil monetary penalties.
oig.hhs.gov/exclusions →