Skip to main content

NPI Registry Resources & Official Links

Useful links for providers, billers, credentialing staff, and developers.

NPI Registry (NPPES)

Official CMS

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 →
Official CMS

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 →
Official CMS

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 →
This Tool

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

Official CMS

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 →
Official CMS

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 →
Official CMS

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 →
This Tool

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

Official CMS

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

NPI Data Services

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

Official OIG

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) →
Official OIG

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 →
Official OIG

OIG Advisory Opinions & Guidance

Official OIG guidance on compliance program requirements, exclusion authorities, and the consequences of employing excluded providers.

oig.hhs.gov/compliance →
NPI Data Services

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

Official NUCC

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 →
This Tool

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 Data Services

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 →
Official CMS

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 →
Official CMS

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

Official CMS

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 →
Official OIG

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 →