If you work in the healthcare field, you’ve probably heard about NPPES Registry. NPPES (National Plan and Provider Enumeration System) is the website where individuals and organizations can apply for an NPI (National Provider Identifier and NPI provider lookup).
NPPES maintains a complete list of NPI-enabled health care providers. Users can access all dynamic NPI data through the NPPES Registry, a free online catalog supplied by CMS (Centers for Medicare and Medicaid Services).
The NPPES data is available as a downloaded file or a queryable database called the NPI registry.
Data from NPPES is included in the register and the downloaded file, as submitted by the health care provider or an authorized authority or group acting on their behalf. If the information provided is incorrect, health care providers can make changes at any time.
By visiting the NPPES website or downloading the NPI application/update form from the CMS forms page, the health care provider or an approved third-party can amend the records.
If you’re having trouble amending the information, you can also contact the NPI enumerator by phone, email, or postal letter.
Remember that the information on the NPI registry and in the downloaded file is subject to FOIA disclosable and eFOIA revisions.
This means that if you have an active NPI, you cannot suppress or opt-out of the NPPES record data, emphasizing the importance of ensuring that it is accurate.
The NPI registry is updated daily to guarantee that you have access to a large pool of NPI-registered providers, and you can search it by using criteria such as the provider’s name.
The NPI downloadable file, on the other hand, is updated weekly and monthly, ensuring that the data contained therein is the most up-to-date information from NPPES.
The update does not include past downloaded files, and the data given by health care providers are subject to the Freedom of Information Act (FOIA).