What is NPI Data?
NPI data refers to the information associated with the National Provider Identifier (NPI), a unique identification number assigned to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). This data includes essential details such as provider names, specialties, practice locations, and contact information.
Best NPI Datasets & APIs
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Healthcare Marketing Data/ B2b Healthcare leads (With email, NPI's and phone )
Monetize data on Datarade Marketplace
What are Examples of NPI Data?
Examples of NPI data include the provider’s NPI number, full name, specialty, practice address, phone number, and taxonomy codes. This information helps healthcare organizations verify provider credentials, manage provider directories, and ensure accurate billing and reimbursement processes.
NPI Data Attributes
- NPI Number: A unique 10-digit identifier assigned to each healthcare provider.
- Provider Name: The full name of the individual or organization associated with the NPI.
- Specialty: The specific medical or healthcare specialty of the provider.
- Practice Location: Address and contact information for the provider’s practice.
- Taxonomy Codes: Codes that classify the provider’s healthcare role or specialty.
How is NPI Data Collected?
NPI data is collected and maintained by the Centers for Medicare & Medicaid Services (CMS) as part of the National Plan and Provider Enumeration System (NPPES). Providers are required to apply for an NPI and keep their information updated regularly. This data is publicly accessible through the NPPES NPI Registry, allowing healthcare organizations, insurance companies, and other entities to verify provider information.
Why is NPI Data Important?
NPI data is essential because it provides a standardized method to identify and verify healthcare providers across the United States. Utilizing NPI data ensures that providers are accurately credentialed and maintain reliable provider directories.
NPI Data Use Cases
- Healthcare Research: Supporting healthcare research by providing detailed information about the healthcare workforce.
- Provider Verification: Ensuring that healthcare providers are properly credentialed and authorized to practice.
- Healthcare Operations: Facilitating healthcare operations through reliable provider information for patient referrals and inter-provider communication.