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NPI Records Updated July 27, 2026 to August 2, 2026

The NPPES update published on August 2, 2026 changed 33,807 NPI records across 51 states and territories: 14,129 providers and organizations entered the registry for the first time, and 19,678 existing records were revised.

California led with 4,171 changed records, followed by Florida (2,358) and Texas (2,319), and Behavior Technician was the most active specialty nationwide with 3,278 changes. Select any state on the map or in the table for its full record list, filterable by specialty, city, entity type, and PECOS enrollment.

Sourced from the official NPPES NPI registry. Update window July 27, 2026 to August 2, 2026. Published August 2, 2026. Refreshed weekly.

You are viewing an archived NPPES update

This page covers July 27, 2026 to August 2, 2026. View the current update.

Archived NPPES version 20260727-20260802
33,807 Records changed across 51 states and territories
14,129 Newly enumerated NPIs 42% of all changes
19,678 Updated records 58% of all changes
629 Records removed deactivated or deleted by CMS

Where this update's changes happened

Shaded by the number of NPI records added or updated. Select a state to see its full list.

Alaska: 99 records, 39 new and 60 updated AK 99 Alabama: 314 records, 151 new and 163 updated AL 314 Arkansas: 383 records, 169 new and 214 updated AR 383 Arizona: 674 records, 241 new and 433 updated AZ 674 California: 4,171 records, 1,838 new and 2,333 updated CA 4,171 Colorado: 790 records, 316 new and 474 updated CO 790 Connecticut: 327 records, 121 new and 206 updated CT 327 District Of Columbia: 161 records, 69 new and 92 updated DC 161 Delaware: 78 records, 25 new and 53 updated DE 78 Florida: 2,358 records, 926 new and 1,432 updated FL 2,358 Georgia: 805 records, 355 new and 450 updated GA 805 Hawaii: 97 records, 47 new and 50 updated HI 97 Iowa: 258 records, 135 new and 123 updated IA 258 Idaho: 217 records, 80 new and 137 updated ID 217 Illinois: 1,194 records, 418 new and 776 updated IL 1,194 Indiana: 710 records, 299 new and 411 updated IN 710 Kansas: 339 records, 122 new and 217 updated KS 339 Kentucky: 406 records, 119 new and 287 updated KY 406 Louisiana: 368 records, 178 new and 190 updated LA 368 Massachusetts: 781 records, 313 new and 468 updated MA 781 Maryland: 1,370 records, 917 new and 453 updated MD 1,370 Maine: 135 records, 36 new and 99 updated ME 135 Michigan: 1,150 records, 564 new and 586 updated MI 1,150 Minnesota: 679 records, 237 new and 442 updated MN 679 Missouri: 734 records, 182 new and 552 updated MO 734 Mississippi: 196 records, 76 new and 120 updated MS 196 Montana: 162 records, 38 new and 124 updated MT 162 North Carolina: 1,264 records, 450 new and 814 updated NC 1,264 North Dakota: 152 records, 54 new and 98 updated ND 152 Nebraska: 443 records, 321 new and 122 updated NE 443 New Hampshire: 103 records, 48 new and 55 updated NH 103 New Jersey: 640 records, 269 new and 371 updated NJ 640 New Mexico: 283 records, 118 new and 165 updated NM 283 Nevada: 451 records, 254 new and 197 updated NV 451 New York: 1,713 records, 771 new and 942 updated NY 1,713 Ohio: 1,349 records, 565 new and 784 updated OH 1,349 Oklahoma: 382 records, 147 new and 235 updated OK 382 Oregon: 481 records, 169 new and 312 updated OR 481 Pennsylvania: 1,065 records, 349 new and 716 updated PA 1,065 Rhode Island: 137 records, 38 new and 99 updated RI 137 South Carolina: 518 records, 204 new and 314 updated SC 518 South Dakota: 67 records, 33 new and 34 updated SD 67 Tennessee: 584 records, 246 new and 338 updated TN 584 Texas: 2,319 records, 908 new and 1,411 updated TX 2,319 Utah: 381 records, 197 new and 184 updated UT 381 Virginia: 705 records, 259 new and 446 updated VA 705 Vermont: 82 records, 43 new and 39 updated VT 82 Washington: 868 records, 269 new and 599 updated WA 868 Wisconsin: 517 records, 212 new and 305 updated WI 517 West Virginia: 294 records, 177 new and 117 updated WV 294 Wyoming: 53 records, 17 new and 36 updated WY 53

Fewer More updates

All states and territories

51 with activity

Select any column heading to sort. Each state links to its full record list for this update.

State New Updated Total New vs updated
Alaska 39 60 99
Alabama 151 163 314
Arkansas 169 214 383
Arizona 241 433 674
California 1,838 2,333 4,171
Colorado 316 474 790
Connecticut 121 206 327
District Of Columbia 69 92 161
Delaware 25 53 78
Florida 926 1,432 2,358
Georgia 355 450 805
Hawaii 47 50 97
Iowa 135 123 258
Idaho 80 137 217
Illinois 418 776 1,194
Indiana 299 411 710
Kansas 122 217 339
Kentucky 119 287 406
Louisiana 178 190 368
Massachusetts 313 468 781
Maryland 917 453 1,370
Maine 36 99 135
Michigan 564 586 1,150
Minnesota 237 442 679
Missouri 182 552 734
Mississippi 76 120 196
Montana 38 124 162
North Carolina 450 814 1,264
North Dakota 54 98 152
Nebraska 321 122 443
New Hampshire 48 55 103
New Jersey 269 371 640
New Mexico 118 165 283
Nevada 254 197 451
New York 771 942 1,713
Ohio 565 784 1,349
Oklahoma 147 235 382
Oregon 169 312 481
Pennsylvania 349 716 1,065
Rhode Island 38 99 137
South Carolina 204 314 518
South Dakota 33 34 67
Tennessee 246 338 584
Texas 908 1,411 2,319
Utah 197 184 381
Virginia 259 446 705
Vermont 43 39 82
Washington 269 599 868
Wisconsin 212 305 517
West Virginia 177 117 294
Wyoming 17 36 53

Most active specialties

Taxonomy classifications with the most changes nationwide.

Behavior Technician 3,278
Nurse Practitioner 3,036
Counselor 2,736
Social Worker 2,020
Student in an Organized Health Care Education/Training Program 1,632
Internal Medicine 1,497
Physician Assistant 1,023
Clinic/Center 1,015
Registered Nurse 979
Family Medicine 872

Update archive

Every weekly NPPES update keeps its own page.

What counts as a recently updated NPI record

A record appears in an update when the Last Update Date on its NPPES file falls inside that update's window. NPI Profile groups those records into two kinds:

New The NPI was enumerated during this window. The provider or organization is appearing in the registry for the first time.
Updated The NPI already existed and something on the record changed, such as a practice address, a taxonomy, a phone number, or an authorized official.

A third group does not appear in the list at all. NPPES retires an NPI when a provider dies, when an organization dissolves, or when a duplicate enumeration is merged into the correct record, and CMS drops the file from the weekly distribution rather than marking it. Those NPIs are counted above but cannot be listed, because the source data for them no longer exists. An NPI that stops appearing is not necessarily invalid: a deactivated number stays permanently assigned to its original owner and is never reissued, so claims history against it remains meaningful.

A stale practice address or taxonomy code is one of the more common reasons a claim rejects, so billing and payer teams work from the updated records and check them against what they already have on file. For credentialing teams and recruiters the new enumerations are the useful half, since an enumeration is the first public record that a provider or organization has entered a market.

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