National Plan and Provider Enumeration System (NPPES) - Secure, Maintain and Update Your information

 

NPPES - Secure, Maintain and Update Your information

This message is for health care providers, particularly physicians and other practitioners, who have obtained National Provider Identifiers (NPIs) and have records in the National Plan and Provider Enumeration System (NPPES).  The Centers for Medicare & Medicaid Services (CMS) recommends that each health care provider, including individual physicians and non-physician practitioners:

 

·        Secure and maintain their own NPPES account information (i.e., User ID, Password, and Secret Question/Answer) for safety and accessibility purposes.  Health care providers should maintain the confidentiality of their User ID, password, and Secret Question/Answer in order to protect their NPPES information from unauthorized access.   

 

• Reset their NPPES passwords at least once a year.  See the NPPES Application Help page at https://nppes.cms.hhs.gov/NPPES/Help.do  and select the 'Reset Password Page' for applicable rules.  Those rules indicate the length, format, content and requirements of NPPES passwords.

 

• Review their NPPES records in order to ensure that the information reflects current and correct information.  Covered health care providers are required to update their NPPES information within 30 days of the effective date of the change. 

 

 

Viewing NPPES Information

Health care providers, including physicians and non-physician practitioners, can view their NPPES information in one of two ways:

 

(1) By accessing the NPPES record at https://nppes.cms.hhs.gov/NPPES/Welcome.do and following the NPI hyperlink and selecting Login.  The user will be prompted to enter the User ID and password that he/she previously created. *

 

* If the health care provider has forgotten the password, enter the User ID and click the "Reset Forgotten Password" button to navigate to the Reset Password Page.  If the health care provider enters an incorrect User ID and Password combination three times, the User ID will be disabled.  Please contact the NPI Enumerator at 1-800-465-3203 if the account is disabled or if the health care provider has forgotten the User ID.

 

OR

 

(2) By accessing the NPI Registry at https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do.  The NPI Registry gives the health care provider an online view of Freedom of Information Act (FOIA)-disclosable NPPES data.  The health care provider can search for its information using the name or NPI as the criterion.   Information regarding NPPES data that are FOIA-disclosable can be found at http://www.cms.hhs.gov/NationalProvIdentStand/ by selecting 'Data Dissemination'. 

 

Please note:  Business Mailing Address and Business Practice location information (full address and corresponding telephone numbers) are key data elements that are FOIA-disclosable.  Health care providers should not report their residential address unless it is their Business Mailing Address or Business Practice location.  The NPPES data appearing on the NPI Registry cannot be deleted; however, it can be updated or changed.

 

 

Updating NPPES Information

Health care providers, including physicians and non-physician practitioners, can correct, add, or delete information in their NPPES records by accessing their NPPES records at https://nppes.cms.hhs.gov/NPPES/Welcome.do and following the NPI hyperlink and selecting Login. The user will be prompted to enter the User ID and password that he/she previously created.  

 

Please note: Required information cannot be deleted from an NPPES record; however, required information can be changed/updated to ensure that NPPES captures the correct information.  Certain information is inaccessible via the web, thus requiring the change/update to be made via paper application.  The paper NPI Application/Update Form (CMS-10114) can be downloaded and printed at http://www.cms.hhs.gov/cmsforms/downloads/CMS10114.pdf.

 

Deactivating the NPI

Health care providers, including physicians and non-physician practitioners, can deactivate their NPIs if the NPIs are no longer required or needed.  Reasons for deactivation include retirement, business dissolved, or death of the health care provider.  A request for deactivation must be submitted via paper application.  The paper NPI Application/Update Form (CMS-10114) can be downloaded and printed at http://www.cms.hhs.gov/cmsforms/downloads/CMS10114.pdf.  Health care providers should review the instructions located on the application regarding deactivations in order to properly complete the deactivation request.  The Power of Attorney or Executor of the Will may complete the application for deactivation due to death of the health care provider.

 

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Physicians:  Did your academic medical institution or medical school university obtain your NPI for you?  If so, please be sure to read an upcoming special listserv message on this topic.

 

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Need More Information?

Providers can apply for an NPI online at https://nppes.cms.hhs.gov  or can call the NPI enumerator to request a paper application at 1-800-465-3203.  Having trouble viewing any of the URLs in this message?  If so, try to cut and paste any URL in this message into your web browser to view the intended information. 

 

Visit CMS' dedicated NPI web page at www.cms.hhs.gov/NationalProvIdentStand for additional NPI information.

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Note:  If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser. 

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