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The downloadable file is a Zip file that is a compressed archive file that contains (a) a 'Read Me' document, (b) a Code Value document, (c) a Header File document, and (d) the FOIA-disclosable NPPES health care provider data file.

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Important Facts about the Full Replacement Monthly NPI File

Endpoint Reference File - this file contains all Endpoints associated with Type 1 and Type 2 NPIs.ĭetailed information about the new files will be included in the Data Dissemination File - Readme file.

Practice Location Reference File - this file contains all of the non-primary Practice Locations associated with Type 1 and Type 2 NPIs.

Other Name Reference File - this file contains additional Other Names associated with Type 2 NPIs.

Starting June 18, 2018, the zipped NPPES Downloadable file will include the following 3 new reference files:

NPI Downloadable File - Opens in a new window : Full Replacement Monthly NPI File, Weekly Incremental NPI File, and Full Replacement NPI Deactivation File.

NPI Registry - Opens in a new window : The NPI Registry is a query-only database which is updated daily to enable users to query the NPPES (e.g., search by NPI, provider name, etc.) and retrieve the FOIA-disclosable data from the search results.

In accordance with the e-FOIA Amendments, CMS has disclosed these data via the Internet in two forms: In September 2007, CMS began disclosing NPPES health care provider data that are disclosable under the Freedom of Information Act (FOIA) to the public.

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Each month, users will need to download the full replacement monthly NPI File in order to ensure that their system has the most up-to-date NPI data. Please note: The weekly incremental NPI file is a supplemental file to be used in conjunction with the full replacement monthly NPI file until the next full replacement monthly NPI file is made available. The weekly files will assist users by providing them with more up-to-date information and includes newly assigned NPIs, updates to NPI data, and newly deactivated NPIs covering that week. These weekly files will be in the same format as the current full replacement monthly NPI file however, the weekly files will only include data for a given week. More good news to shareĬMS will also make available weekly incremental NPI files for downloading.

A link to the files can be found at the bottom of this page by selecting ‘NPI Downloadable Files’ under the ‘Related Links’ section. This NPI deactivation file will assist users who are only interested in the deactivation information. In addition, CMS will also make available a full replacement monthly NPI deactivation file with deactivated NPIs and the deactivation dates in an excel format. After careful consideration, CMS has agreed to disseminate the deactivated NPIs and the deactivation dates as part of the full replacement monthly NPI file. Many organizations have expressed the need for information related to deactivated NPIs and the deactivation dates. (Also referred to as the NPI Downloadable File and/or the full replacement Monthly NPI File)ĬMS is pleased to announce that the NPPES Downloadable file will now include deactivated NPIs within the full replacement monthly NPI file. Medicare Provider Cost Report Public Use FilesĪnnouncing Changes to the National Plan and Provider Enumeration System (NPPES) Downloadable File.Provider statistical & reimbursement report.Medicare fee for service for Parts A & B.

Medicare Claims Synthetic Public Use Files (SynPUFs).

Health Care Information System (HCIS) data file.Medicare Provider Utilization and Payment Data.Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information Files for Download.Next Generation ACO Model (NGACO) Public Use Files.Medicare Advantage/Part D Contract and Enrollment Data.Comprehensive End Stage Renal Disease (ESRD) Care (CEC) Model Public Use Files.

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