NPI Lookup

An NPI, or National Provider Identifier, is a unique 10-digit identification number for covered healthcare providers in the United States. It is issued through the National Plan and Provider Enumeration System (NPPES), which is run by the Centers for Medicare & Medicaid Services (CMS).

Ten. An NPI contains digits only, and the last digit is a check digit calculated from the first nine. A number that fails the check digit cannot be a valid NPI.

Healthcare providers covered by HIPAA, meaning individuals and organizations that send health information electronically in standard transactions such as claims, must have an NPI. Other healthcare providers can also apply for one.

Yes. Choose Search by Provider and enter details such as a name, organization name, specialty, city, state or ZIP code. A state cannot be searched on its own, so add at least one other detail.

Yes. Under Search by Provider, choose Individual and enter a first and last name. Adding a state or city narrows the results. To match the beginning of a name, type at least two letters followed by *, for example Smi*.

Yes. Search by NPI works for both individual (NPI-1) and organization (NPI-2) numbers. You can also find an organization by name under Search by Provider.

NPI-1, or Type 1, is issued to individual healthcare providers such as physicians, nurse practitioners and dentists. NPI-2, or Type 2, is issued to healthcare organizations such as hospitals, group practices and clinics.

No. An NPI is an identifier. Having one does not by itself confirm that a healthcare provider is currently licensed or credentialed. License status is held by the relevant state licensing board.

From the official NPPES NPI Registry, operated by the Centers for Medicare & Medicaid Services (CMS). The lookup shows records as NPPES returns them. HCPContacts does not create or own NPPES data.