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What is NPPES in healthcare?

What is NPPES in healthcare?

NPPES is CMS's National Plan and Provider Enumeration System, which assigns and maintains 10-digit NPIs. The NPPES Data Dissemination V.2 file index dated 2026-07-13 is the named source. Its public records contain provider-submitted administrative fields; enumeration alone does not establish licensure, Medicare enrollment, or current practice.

Published
2026-07-21
Retrieved
Not reported
Snapshot
sha256:dab3817239c1cf19554c80eb4734241ef3eb596f7b3060893554bf545fbbab08
Data as of
2026-07-13

Source artifact receipts

Each receipt below describes its exact retained artifact or live source. Dates and digests never cross artifact boundaries.

Scope and material limitation

What this answer covers

This answer defines NPPES and the public dissemination files. It does not treat enumeration as a professional credential or Medicare participation decision.

Dated source facts

What the cited record says

Source-snapshot manifest receipt

Reproducible lineage, explicitly unsigned

This receipt attests the source snapshot manifest, not any individual fact.

The answer-series chain record is unsigned. It does not authenticate a person, organization, eligibility state, or individual fact.

Snapshot manifest SHA-256
669e1b56fc1d0ce61bcfbfc78f114cc7812157ef8f751ead53ae8ebf19551af3
Previous chain SHA-256
08abe8cd33235f4bd6ae0e35ff9b23a7cfc681bdf804268bdb0328e8691e7c59
Current chain SHA-256
0ab06861c1ebf17a4dea627b2d1851a94fea8ba5e8d977e45fec4a5bf7f9e2cb
signature_linked_facts
0
Answer-series chain status
unsigned

Primary-source chain

Follow the answer to its source

  1. NPPES Data Dissemination V.2 file indexCenters for Medicare & Medicaid Services (CMS)Agency release:

    Limitation: NPPES contains provider-submitted administrative data. Enumeration does not establish licensure, Medicare enrollment, identity beyond the published record, or current practice.

Re-derive this answer from the named source and dated scope; no Fonteum account is required.

Methodology and limitations

How to interpret this answer

Methodology version: citation-answer/v1

  • Provider-submitted fields can be incomplete, stale, or absent.
  • This aggregate public-record answer is not a consumer report, person-level dossier, eligibility decision, or risk score.
Read the methodology

Frequently asked questions

Questions about this answer

What does NPPES stand for?
National Plan and Provider Enumeration System.
Does an NPPES record establish Medicare enrollment?
No. Medicare enrollment is maintained separately in PECOS.

What’s on file, by the numbers

Platform snapshot · 2026-08-13

13.4Mproviders & companiesProviders, organizations, owners, and facilities on file
26.2Msource-linked factsSource-linked field facts in the dated platform snapshot
90sources with dataDistinct snapshot source IDs with at least one positive record count
72fresh sourcesDistinct source IDs whose latest positive-data snapshot falls within the preceding 45 days
111sources integratedActive registry rows; integration does not establish a load
13state Medicaid jurisdictionsDistinct states represented in the state-exclusions serving table

Integrated, with-data, and fresh-observation counts are separate. No platform-wide source-completeness count is published. Completeness is source-specific and must be evaluated against the named source's expected scope. State coverage is a separate jurisdiction measure.

Source authority is record-specific

Use the issuer named on the record.

Fonteum spans federal, state, and global public publishers. A source page or returned record identifies its issuer and dataset where that metadata is available. A platform registry count does not assign every page to one authority or establish loaded, fresh, or complete coverage.

Browse source records and their stated limitations →

Reproducible by design

Inspect the evidence each published figure actually supplies.

Source and date

Research pages expose the named public file and observation date where those fields are available. Source-file SHA-256 coverage is separate; facts do not currently link deterministically to signatures.

Available derivation

Studies with a retained release and committed derivation link the SQL or method used. Other studies state the evidence and reproduction limits they actually have.

Daily observations

Dated table row-count observations can detect local drift. They do not imply that an upstream publisher released or Fonteum ingested new data that day.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

Read the full provenance and attestation methodology →

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