Data Reference Tool

NPI Data Dictionary: NPPES Fields and Code Values

Quick Answer

This dictionary explains every field in the NPPES bulk data file, its three reference files, and the Medicare Order and Referring file, in plain English with code values and official CMS sources. It also includes a Quick Terms glossary for the words behind the fields. Search or browse by dataset and category on the left.

No coded values. This is a free-text, numeric, or date field.

CodeMeaning
1Individual: a human being who furnishes health care
2Organization: an entity other than an individual, such as a hospital, pharmacy, or HMO

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

CMS suppresses this value in the public download. It is disclosable under FOIA but currently masked, so the field appears filled with equals signs rather than a real number.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

CodeMeaning
Ms.Ms.
Mr.Mr.
MissMiss
Mrs.Mrs.
Dr.Dr.
Prof.Prof.
CodeMeaning
Jr.Jr.
Sr.Sr.
I - XRoman numerals I through X

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

CodeMeaning
1Former name
2Professional name
3Doing business as (d/b/a)
4Former legal business name
5Other
If the raw file shows a 6 here, the organization has additional other names stored in the separate Other Name Reference File.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

CodeMeaning
Ms.Ms.
Mr.Mr.
MissMiss
Mrs.Mrs.
Dr.Dr.
Prof.Prof.
CodeMeaning
Jr.Jr.
Sr.Sr.
I - XRoman numerals I through X

No coded values. This is a free-text, numeric, or date field.

CodeMeaning
1Former name
2Professional name
3Doing business as (d/b/a)
4Former legal business name
5Other

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

CodeMeaning
AKALASKA (S)
ALALABAMA (S)
ARARKANSAS (S)
ASAMERICAN SAMOA (T)
AZARIZONA (S)
CACALIFORNIA (S)
COCOLORADO (S)
CTCONNECTICUT (S)
DCDISTRICT OF COLUMBIA (T)
DEDELAWARE (S)
FLFLORIDA (S)
FMMICRONESIA, FEDERATED STATES OF (T)
GAGEORGIA (S)
GUGUAM (T)
HIHAWAII (S)
IAIOWA (S)
IDIDAHO (S)
ILILLINOIS (S)
ININDIANA (S)
KSKANSAS (S)
KYKENTUCKY (S)
LALOUISIANA (S)
MAMASSACHUSETTS (S)
MDMARYLAND (S)
MEMAINE (S)
MHMARSHALL ISLANDS (T)
MIMICHIGAN (S)
MNMINNESOTA (S)
MOMISSOURI (S)
MPMARIANA ISLANDS, NORTHERN (T)
MSMISSISSIPPI (S)
MTMONTANA (S)
NCNORTH CAROLINA (S)
NDNORTH DAKOTA (S)
NENEBRASKA (S)
NHNEW HAMPSHIRE (S)
NJNEW JERSEY (S)
NMNEW MEXICO (S)
NVNEVADA (S)
NYNEW YORK (S)
OHOHIO (S)
OKOKLAHOMA (S)
OROREGON (S)
PAPENNSYLVANIA (S)
PRPUERTO RICO (T)
PWPALAU (T)
RIRHODE ISLAND (S)
SCSOUTH CAROLINA (S)
SDSOUTH DAKOTA (S)
TNTENNESSEE (S)
TXTEXAS (S)
UTUTAH (S)
VAVIRGINIA (S)
VIVIRGIN ISLANDS (T)
VTVERMONT (S)
WAWASHINGTON (S)
WIWISCONSIN (S)
WVWEST VIRGINIA (S)
WYWYOMING (S)
ZZForeign Country (T)

No coded values. This is a free-text, numeric, or date field.

CodeMeaning
ADANDORRA
AEUNITED ARAB EMIRATES
AFAFGHANISTAN
AGANTIGUA AND BARBUDA
AIANGUILLA
ALALBANIA
AMARMENIA
ANNETHERLANDS ANTILLES
AOANGOLA
AQANTARCTICA
ARARGENTINA
ATAUSTRIA
AUAUSTRALIA
AWARUBA
AXALAND ISLANDS
AZAZERBAIJAN
BABOSNIA AND HERZEGOVINA
BBBARBADOS
BDBANGLADESH
BEBELGIUM
BFBURKINA FASO
BGBULGARIA
BHBAHRAIN
BIBURUNDI
BJBENIN
BMBERMUDA
BNBRUNEI DARUSSALAM
BOBOLIVIA
BRBRAZIL
BSBAHAMAS
BTBHUTAN
BVBOUVET ISLAND
BWBOTSWANA
BYBELARUS
BZBELIZE
CACANADA
CCCOCOS (KEELING) ISLANDS
CDCONGO, THE DEMOCRATIC REPUBLIC OF THE
CFCENTRAL AFRICAN REPUBLIC
CGCONGO
CHSWITZERLAND
CICÔTE D'IVOIRE
CKCOOK ISLANDS
CLCHILE
CMCAMEROON
CNCHINA
COCOLOMBIA
CRCOSTA RICA
CSSERBIA AND MONTENEGRO
CUCUBA
CVCAPE VERDE
CXCHRISTMAS ISLAND
CYCYPRUS
CZCZECH REPUBLIC
DEGERMANY
DJDJIBOUTI
DKDENMARK
DMDOMINICA
DODOMINICAN REPUBLIC
DZALGERIA
ECECUADOR
EEESTONIA
EGEGYPT
EHWESTERN SAHARA
ERERITREA
ESSPAIN
ETETHIOPIA
FIFINLAND
FJFIJI
FKFALKLAND ISLANDS (MALVINAS)
FOFAROE ISLANDS
FRFRANCE
GAGABON
GBGREAT BRITAIN (UK)
GDGRENADA
GEGEORGIA
GFFRENCH GUIANA
GGGUERNSEY
GHGHANA
GIGIBRALTAR
GLGREENLAND
GMGAMBIA
GNGUINEA
GPGUADELOUPE
GQEQUATIORIAL GUINEA
GRGREECE
GSSOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
GTGUATEMALA
GWGUINEA-BISSAU
GYGUYANA
HKHONG KONG
HMHEARD ISLAND AND MCDONALD ISLANDS
HNHONDURAS
HRCROATIA
HTHAITI
HUHUNGARY
IDINDONESIA
IEIRELAND
ILISRAEL
IMISLE OF MAN
ININDIA
IOBRITISH INDIAN OCEAN TERRITORY
IQIRAQ
IRIRAN, ISLAMIC REPUBLIC OF
ISICELAND
ITITALY
JEJERSEY
JMJAMAICA
JOJORDAN
JPJAPAN
KEKENYA
KGKYRGYZSTAN
KHCAMBODIA
KIKIRIBATI
KMCOMOROS
KNSAINT KITTS AND NEVIS
KPKOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF
KRKOREA, REPUBLIC OF
KWKUWAIT
KYCAYMAN ISLANDS
KZKAZAKHSTAN
LALAO PEOPLE'S DEMOCRATIC REPUBLIC
LBLEBANON
LCSAINT LUCIA
LILIECHTENSTEIN
LKSRI LANKA
LRLIBEIRA
LSLESOTHO
LTLITHUANIA
LULUXEMBOURG
LVLATVIA
LYLIBYAN ARAB JAMAHIRIYA
MAMAROCCO
MCMONACO
MDMOLDOVA, REPUBLIC OF
MGMADAGASCAR
MKMACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF
MLMALI
MMMYANMAR
MNMONGOLIA
MOMACAO
MQMARTINIQUE
MRMAURITANIA
MSMONTSERRAT
MTMALTA
MUMAURITIUS
MVMALDIVES
MWMALAWI
MXMEXICO
MYMALAYSIA
MZMOZAMBIQUE
NANAMIBIA
NCNEW CALEDONIA
NENIGER
NFNORFOLK ISLAND
NGNIGERIA
NINICARAGUA
NLNETHERLANDS
NONORWAY
NPNEPAL
NRNAURU
NUNIUE
NZNEW ZEALAND
OMOMAN
PAPANAMA
PEPERU
PFFRENCH POLYNESIA
PGPAPUA NEW GUINEA
PHPHILIPPINES
PKPAKISTAN
PLPOLAND
PMSAINT PIERRE AND MIQUELON
PNPITCAIRN
PSPALESTINIAN TERRITORY, OCCUPIED
PTPORTUGAL
PYPARAGUAY
QAQATAR
REREUNION
ROROMANIA
RURUSSIAN FEDERATION
RWRWANDA
SASAUDI ARABIA
SBSOLOMON ISLANDS
SCSEYCHELLES
SDSUDAN
SESWEDEN
SGSINGAPORE
SHSAINT HELENA
SISLOVENIA
SJSVALBARD AND JAN MAYEN
SKSLOVAKIA
SLSIERRA LEONE
SMSAN MARINO
SNSENEGAL
SOSOMALIA
SRSURINAME
STSAO TOME AND PRINCIPE
SVEL SALVADOR
SYSYRIAN ARAB REPUBLIC
SZSWAZILAND
TCTURKS AND CAICOS ISLANDS
TDCHAD
TFFRENCH SOUTHERN TERRITORIES
TGTOGO
THTHAILAND
TJTAJIKISTAN
TKTOKELAU
TLTIMOR-LESTE
TMTURKMENISTAN
TNTUNISIA
TOTONGA
TRTURKEY
TTTRINIDAD AND TOBAGO
TVTUVALU
TWTAIWAN
TZTANZANIA, UNITED REPUBLIC OF
UAUKRAINE
UGUGANDA
UMUNITED STATES MINOR OUTLYING ISLANDS
USUNITED STATES
UYURUGUAY
UZUZBEKISTAN
VAHOLY SEE (VATICAN CITY STATE)
VCSAINT VINCENT AND THE GRENADINES
VEVENEZUELA
VGVIRGIN ISLANDS, BRITISH
VNVIET NAM
VUVANUATU
WFWALLIS AND FUTUNA
WSSAMOA
XKKOSOVO
YEYEMEN
YTMAYOTTE
ZASOUTH AFRICA
ZMZAMBIA
ZWZIMBABWE

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

CodeMeaning
AKALASKA (S)
ALALABAMA (S)
ARARKANSAS (S)
ASAMERICAN SAMOA (T)
AZARIZONA (S)
CACALIFORNIA (S)
COCOLORADO (S)
CTCONNECTICUT (S)
DCDISTRICT OF COLUMBIA (T)
DEDELAWARE (S)
FLFLORIDA (S)
FMMICRONESIA, FEDERATED STATES OF (T)
GAGEORGIA (S)
GUGUAM (T)
HIHAWAII (S)
IAIOWA (S)
IDIDAHO (S)
ILILLINOIS (S)
ININDIANA (S)
KSKANSAS (S)
KYKENTUCKY (S)
LALOUISIANA (S)
MAMASSACHUSETTS (S)
MDMARYLAND (S)
MEMAINE (S)
MHMARSHALL ISLANDS (T)
MIMICHIGAN (S)
MNMINNESOTA (S)
MOMISSOURI (S)
MPMARIANA ISLANDS, NORTHERN (T)
MSMISSISSIPPI (S)
MTMONTANA (S)
NCNORTH CAROLINA (S)
NDNORTH DAKOTA (S)
NENEBRASKA (S)
NHNEW HAMPSHIRE (S)
NJNEW JERSEY (S)
NMNEW MEXICO (S)
NVNEVADA (S)
NYNEW YORK (S)
OHOHIO (S)
OKOKLAHOMA (S)
OROREGON (S)
PAPENNSYLVANIA (S)
PRPUERTO RICO (T)
PWPALAU (T)
RIRHODE ISLAND (S)
SCSOUTH CAROLINA (S)
SDSOUTH DAKOTA (S)
TNTENNESSEE (S)
TXTEXAS (S)
UTUTAH (S)
VAVIRGINIA (S)
VIVIRGIN ISLANDS (T)
VTVERMONT (S)
WAWASHINGTON (S)
WIWISCONSIN (S)
WVWEST VIRGINIA (S)
WYWYOMING (S)
ZZForeign Country (T)

No coded values. This is a free-text, numeric, or date field.

CodeMeaning
ADANDORRA
AEUNITED ARAB EMIRATES
AFAFGHANISTAN
AGANTIGUA AND BARBUDA
AIANGUILLA
ALALBANIA
AMARMENIA
ANNETHERLANDS ANTILLES
AOANGOLA
AQANTARCTICA
ARARGENTINA
ATAUSTRIA
AUAUSTRALIA
AWARUBA
AXALAND ISLANDS
AZAZERBAIJAN
BABOSNIA AND HERZEGOVINA
BBBARBADOS
BDBANGLADESH
BEBELGIUM
BFBURKINA FASO
BGBULGARIA
BHBAHRAIN
BIBURUNDI
BJBENIN
BMBERMUDA
BNBRUNEI DARUSSALAM
BOBOLIVIA
BRBRAZIL
BSBAHAMAS
BTBHUTAN
BVBOUVET ISLAND
BWBOTSWANA
BYBELARUS
BZBELIZE
CACANADA
CCCOCOS (KEELING) ISLANDS
CDCONGO, THE DEMOCRATIC REPUBLIC OF THE
CFCENTRAL AFRICAN REPUBLIC
CGCONGO
CHSWITZERLAND
CICÔTE D'IVOIRE
CKCOOK ISLANDS
CLCHILE
CMCAMEROON
CNCHINA
COCOLOMBIA
CRCOSTA RICA
CSSERBIA AND MONTENEGRO
CUCUBA
CVCAPE VERDE
CXCHRISTMAS ISLAND
CYCYPRUS
CZCZECH REPUBLIC
DEGERMANY
DJDJIBOUTI
DKDENMARK
DMDOMINICA
DODOMINICAN REPUBLIC
DZALGERIA
ECECUADOR
EEESTONIA
EGEGYPT
EHWESTERN SAHARA
ERERITREA
ESSPAIN
ETETHIOPIA
FIFINLAND
FJFIJI
FKFALKLAND ISLANDS (MALVINAS)
FOFAROE ISLANDS
FRFRANCE
GAGABON
GBGREAT BRITAIN (UK)
GDGRENADA
GEGEORGIA
GFFRENCH GUIANA
GGGUERNSEY
GHGHANA
GIGIBRALTAR
GLGREENLAND
GMGAMBIA
GNGUINEA
GPGUADELOUPE
GQEQUATIORIAL GUINEA
GRGREECE
GSSOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
GTGUATEMALA
GWGUINEA-BISSAU
GYGUYANA
HKHONG KONG
HMHEARD ISLAND AND MCDONALD ISLANDS
HNHONDURAS
HRCROATIA
HTHAITI
HUHUNGARY
IDINDONESIA
IEIRELAND
ILISRAEL
IMISLE OF MAN
ININDIA
IOBRITISH INDIAN OCEAN TERRITORY
IQIRAQ
IRIRAN, ISLAMIC REPUBLIC OF
ISICELAND
ITITALY
JEJERSEY
JMJAMAICA
JOJORDAN
JPJAPAN
KEKENYA
KGKYRGYZSTAN
KHCAMBODIA
KIKIRIBATI
KMCOMOROS
KNSAINT KITTS AND NEVIS
KPKOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF
KRKOREA, REPUBLIC OF
KWKUWAIT
KYCAYMAN ISLANDS
KZKAZAKHSTAN
LALAO PEOPLE'S DEMOCRATIC REPUBLIC
LBLEBANON
LCSAINT LUCIA
LILIECHTENSTEIN
LKSRI LANKA
LRLIBEIRA
LSLESOTHO
LTLITHUANIA
LULUXEMBOURG
LVLATVIA
LYLIBYAN ARAB JAMAHIRIYA
MAMAROCCO
MCMONACO
MDMOLDOVA, REPUBLIC OF
MGMADAGASCAR
MKMACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF
MLMALI
MMMYANMAR
MNMONGOLIA
MOMACAO
MQMARTINIQUE
MRMAURITANIA
MSMONTSERRAT
MTMALTA
MUMAURITIUS
MVMALDIVES
MWMALAWI
MXMEXICO
MYMALAYSIA
MZMOZAMBIQUE
NANAMIBIA
NCNEW CALEDONIA
NENIGER
NFNORFOLK ISLAND
NGNIGERIA
NINICARAGUA
NLNETHERLANDS
NONORWAY
NPNEPAL
NRNAURU
NUNIUE
NZNEW ZEALAND
OMOMAN
PAPANAMA
PEPERU
PFFRENCH POLYNESIA
PGPAPUA NEW GUINEA
PHPHILIPPINES
PKPAKISTAN
PLPOLAND
PMSAINT PIERRE AND MIQUELON
PNPITCAIRN
PSPALESTINIAN TERRITORY, OCCUPIED
PTPORTUGAL
PYPARAGUAY
QAQATAR
REREUNION
ROROMANIA
RURUSSIAN FEDERATION
RWRWANDA
SASAUDI ARABIA
SBSOLOMON ISLANDS
SCSEYCHELLES
SDSUDAN
SESWEDEN
SGSINGAPORE
SHSAINT HELENA
SISLOVENIA
SJSVALBARD AND JAN MAYEN
SKSLOVAKIA
SLSIERRA LEONE
SMSAN MARINO
SNSENEGAL
SOSOMALIA
SRSURINAME
STSAO TOME AND PRINCIPE
SVEL SALVADOR
SYSYRIAN ARAB REPUBLIC
SZSWAZILAND
TCTURKS AND CAICOS ISLANDS
TDCHAD
TFFRENCH SOUTHERN TERRITORIES
TGTOGO
THTHAILAND
TJTAJIKISTAN
TKTOKELAU
TLTIMOR-LESTE
TMTURKMENISTAN
TNTUNISIA
TOTONGA
TRTURKEY
TTTRINIDAD AND TOBAGO
TVTUVALU
TWTAIWAN
TZTANZANIA, UNITED REPUBLIC OF
UAUKRAINE
UGUGANDA
UMUNITED STATES MINOR OUTLYING ISLANDS
USUNITED STATES
UYURUGUAY
UZUZBEKISTAN
VAHOLY SEE (VATICAN CITY STATE)
VCSAINT VINCENT AND THE GRENADINES
VEVENEZUELA
VGVIRGIN ISLANDS, BRITISH
VNVIET NAM
VUVANUATU
WFWALLIS AND FUTUNA
WSSAMOA
XKKOSOVO
YEYEMEN
YTMAYOTTE
ZASOUTH AFRICA
ZMZAMBIA
ZWZIMBABWE

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

CodeMeaning
DeathDeath of an individual (Type 1) provider
DisbandmentOrganization (Type 2) provider disbandment
FraudDeactivated because of fraud
OtherAnother reason, such as retirement
CMS lists this column in the file layout but does not populate its value in the public download. The reason itself surfaces elsewhere, such as on the NPPES record detail. Deactivation reason codes also appear on live profile pages.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

CodeMeaning
MMale
FFemale
UUndisclosed
XUndisclosed
CodeMeaning
YYes, the individual is a sole proprietor
NNo, the individual is not a sole proprietor
XNot answered
CodeMeaning
YYes, the organization is a subpart
NNo, the organization is not a subpart
XNot answered

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

CMS currently suppresses this value in the public download.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

CodeMeaning
Jr.Jr.
Sr.Sr.
I - XRoman numerals I through X

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

CodeMeaning
AKALASKA (S)
ALALABAMA (S)
ARARKANSAS (S)
ASAMERICAN SAMOA (T)
AZARIZONA (S)
CACALIFORNIA (S)
COCOLORADO (S)
CTCONNECTICUT (S)
DCDISTRICT OF COLUMBIA (T)
DEDELAWARE (S)
FLFLORIDA (S)
FMMICRONESIA, FEDERATED STATES OF (T)
GAGEORGIA (S)
GUGUAM (T)
HIHAWAII (S)
IAIOWA (S)
IDIDAHO (S)
ILILLINOIS (S)
ININDIANA (S)
KSKANSAS (S)
KYKENTUCKY (S)
LALOUISIANA (S)
MAMASSACHUSETTS (S)
MDMARYLAND (S)
MEMAINE (S)
MHMARSHALL ISLANDS (T)
MIMICHIGAN (S)
MNMINNESOTA (S)
MOMISSOURI (S)
MPMARIANA ISLANDS, NORTHERN (T)
MSMISSISSIPPI (S)
MTMONTANA (S)
NCNORTH CAROLINA (S)
NDNORTH DAKOTA (S)
NENEBRASKA (S)
NHNEW HAMPSHIRE (S)
NJNEW JERSEY (S)
NMNEW MEXICO (S)
NVNEVADA (S)
NYNEW YORK (S)
OHOHIO (S)
OKOKLAHOMA (S)
OROREGON (S)
PAPENNSYLVANIA (S)
PRPUERTO RICO (T)
PWPALAU (T)
RIRHODE ISLAND (S)
SCSOUTH CAROLINA (S)
SDSOUTH DAKOTA (S)
TNTENNESSEE (S)
TXTEXAS (S)
UTUTAH (S)
VAVIRGINIA (S)
VIVIRGIN ISLANDS (T)
VTVERMONT (S)
WAWASHINGTON (S)
WIWISCONSIN (S)
WVWEST VIRGINIA (S)
WYWYOMING (S)
ZZForeign Country (T)
CodeMeaning
YThis is the primary taxonomy
NThis is not the primary taxonomy
XNot answered
CodeMeaning
193200000XMulti-Specialty Group: practitioners with different areas of specialization
193400000XSingle Specialty Group: practitioners who all share one area of specialization

No coded values. This is a free-text, numeric, or date field.

CMS masks any reported SSNs, ITINs, and EINs in this field, replacing them with placeholder characters.
CodeMeaning
01Other
02Medicare UPIN: legacy six-character physician ID, retired and replaced by the NPI
04Medicare ID, type unspecified
05Medicaid, state-specific
06Medicare OSCAR / Certification Number, for institutional providers
07Medicare NSC: National Supplier Clearinghouse number
08Medicare PIN: legacy Medicare provider number
CodeMeaning
AKALASKA (S)
ALALABAMA (S)
ARARKANSAS (S)
ASAMERICAN SAMOA (T)
AZARIZONA (S)
CACALIFORNIA (S)
COCOLORADO (S)
CTCONNECTICUT (S)
DCDISTRICT OF COLUMBIA (T)
DEDELAWARE (S)
FLFLORIDA (S)
FMMICRONESIA, FEDERATED STATES OF (T)
GAGEORGIA (S)
GUGUAM (T)
HIHAWAII (S)
IAIOWA (S)
IDIDAHO (S)
ILILLINOIS (S)
ININDIANA (S)
KSKANSAS (S)
KYKENTUCKY (S)
LALOUISIANA (S)
MAMASSACHUSETTS (S)
MDMARYLAND (S)
MEMAINE (S)
MHMARSHALL ISLANDS (T)
MIMICHIGAN (S)
MNMINNESOTA (S)
MOMISSOURI (S)
MPMARIANA ISLANDS, NORTHERN (T)
MSMISSISSIPPI (S)
MTMONTANA (S)
NCNORTH CAROLINA (S)
NDNORTH DAKOTA (S)
NENEBRASKA (S)
NHNEW HAMPSHIRE (S)
NJNEW JERSEY (S)
NMNEW MEXICO (S)
NVNEVADA (S)
NYNEW YORK (S)
OHOHIO (S)
OKOKLAHOMA (S)
OROREGON (S)
PAPENNSYLVANIA (S)
PRPUERTO RICO (T)
PWPALAU (T)
RIRHODE ISLAND (S)
SCSOUTH CAROLINA (S)
SDSOUTH DAKOTA (S)
TNTENNESSEE (S)
TXTEXAS (S)
UTUTAH (S)
VAVIRGINIA (S)
VIVIRGIN ISLANDS (T)
VTVERMONT (S)
WAWASHINGTON (S)
WIWISCONSIN (S)
WVWEST VIRGINIA (S)
WYWYOMING (S)
ZZForeign Country (T)

No coded values. This is a free-text, numeric, or date field.

NPPES splits a few kinds of repeating information out of the main Data File into three separate CSV files, each keyed by NPI. This is where multiple names, extra practice locations, and digital endpoints live.

othername_pfileOther Name Reference File

Holds additional other names for Type 2 (organization) NPIs beyond the first one carried in the main Data File. Each row is keyed by NPI.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

pl_pfilePractice Location Reference File

Holds every non-primary practice location for Type 1 and Type 2 NPIs. The main Data File carries only the primary practice location; the rest live here, keyed by NPI.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

CodeMeaning
AKALASKA (S)
ALALABAMA (S)
ARARKANSAS (S)
ASAMERICAN SAMOA (T)
AZARIZONA (S)
CACALIFORNIA (S)
COCOLORADO (S)
CTCONNECTICUT (S)
DCDISTRICT OF COLUMBIA (T)
DEDELAWARE (S)
FLFLORIDA (S)
FMMICRONESIA, FEDERATED STATES OF (T)
GAGEORGIA (S)
GUGUAM (T)
HIHAWAII (S)
IAIOWA (S)
IDIDAHO (S)
ILILLINOIS (S)
ININDIANA (S)
KSKANSAS (S)
KYKENTUCKY (S)
LALOUISIANA (S)
MAMASSACHUSETTS (S)
MDMARYLAND (S)
MEMAINE (S)
MHMARSHALL ISLANDS (T)
MIMICHIGAN (S)
MNMINNESOTA (S)
MOMISSOURI (S)
MPMARIANA ISLANDS, NORTHERN (T)
MSMISSISSIPPI (S)
MTMONTANA (S)
NCNORTH CAROLINA (S)
NDNORTH DAKOTA (S)
NENEBRASKA (S)
NHNEW HAMPSHIRE (S)
NJNEW JERSEY (S)
NMNEW MEXICO (S)
NVNEVADA (S)
NYNEW YORK (S)
OHOHIO (S)
OKOKLAHOMA (S)
OROREGON (S)
PAPENNSYLVANIA (S)
PRPUERTO RICO (T)
PWPALAU (T)
RIRHODE ISLAND (S)
SCSOUTH CAROLINA (S)
SDSOUTH DAKOTA (S)
TNTENNESSEE (S)
TXTEXAS (S)
UTUTAH (S)
VAVIRGINIA (S)
VIVIRGIN ISLANDS (T)
VTVERMONT (S)
WAWASHINGTON (S)
WIWISCONSIN (S)
WVWEST VIRGINIA (S)
WYWYOMING (S)
ZZForeign Country (T)

No coded values. This is a free-text, numeric, or date field.

CodeMeaning
ADANDORRA
AEUNITED ARAB EMIRATES
AFAFGHANISTAN
AGANTIGUA AND BARBUDA
AIANGUILLA
ALALBANIA
AMARMENIA
ANNETHERLANDS ANTILLES
AOANGOLA
AQANTARCTICA
ARARGENTINA
ATAUSTRIA
AUAUSTRALIA
AWARUBA
AXALAND ISLANDS
AZAZERBAIJAN
BABOSNIA AND HERZEGOVINA
BBBARBADOS
BDBANGLADESH
BEBELGIUM
BFBURKINA FASO
BGBULGARIA
BHBAHRAIN
BIBURUNDI
BJBENIN
BMBERMUDA
BNBRUNEI DARUSSALAM
BOBOLIVIA
BRBRAZIL
BSBAHAMAS
BTBHUTAN
BVBOUVET ISLAND
BWBOTSWANA
BYBELARUS
BZBELIZE
CACANADA
CCCOCOS (KEELING) ISLANDS
CDCONGO, THE DEMOCRATIC REPUBLIC OF THE
CFCENTRAL AFRICAN REPUBLIC
CGCONGO
CHSWITZERLAND
CICÔTE D'IVOIRE
CKCOOK ISLANDS
CLCHILE
CMCAMEROON
CNCHINA
COCOLOMBIA
CRCOSTA RICA
CSSERBIA AND MONTENEGRO
CUCUBA
CVCAPE VERDE
CXCHRISTMAS ISLAND
CYCYPRUS
CZCZECH REPUBLIC
DEGERMANY
DJDJIBOUTI
DKDENMARK
DMDOMINICA
DODOMINICAN REPUBLIC
DZALGERIA
ECECUADOR
EEESTONIA
EGEGYPT
EHWESTERN SAHARA
ERERITREA
ESSPAIN
ETETHIOPIA
FIFINLAND
FJFIJI
FKFALKLAND ISLANDS (MALVINAS)
FOFAROE ISLANDS
FRFRANCE
GAGABON
GBGREAT BRITAIN (UK)
GDGRENADA
GEGEORGIA
GFFRENCH GUIANA
GGGUERNSEY
GHGHANA
GIGIBRALTAR
GLGREENLAND
GMGAMBIA
GNGUINEA
GPGUADELOUPE
GQEQUATIORIAL GUINEA
GRGREECE
GSSOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
GTGUATEMALA
GWGUINEA-BISSAU
GYGUYANA
HKHONG KONG
HMHEARD ISLAND AND MCDONALD ISLANDS
HNHONDURAS
HRCROATIA
HTHAITI
HUHUNGARY
IDINDONESIA
IEIRELAND
ILISRAEL
IMISLE OF MAN
ININDIA
IOBRITISH INDIAN OCEAN TERRITORY
IQIRAQ
IRIRAN, ISLAMIC REPUBLIC OF
ISICELAND
ITITALY
JEJERSEY
JMJAMAICA
JOJORDAN
JPJAPAN
KEKENYA
KGKYRGYZSTAN
KHCAMBODIA
KIKIRIBATI
KMCOMOROS
KNSAINT KITTS AND NEVIS
KPKOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF
KRKOREA, REPUBLIC OF
KWKUWAIT
KYCAYMAN ISLANDS
KZKAZAKHSTAN
LALAO PEOPLE'S DEMOCRATIC REPUBLIC
LBLEBANON
LCSAINT LUCIA
LILIECHTENSTEIN
LKSRI LANKA
LRLIBEIRA
LSLESOTHO
LTLITHUANIA
LULUXEMBOURG
LVLATVIA
LYLIBYAN ARAB JAMAHIRIYA
MAMAROCCO
MCMONACO
MDMOLDOVA, REPUBLIC OF
MGMADAGASCAR
MKMACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF
MLMALI
MMMYANMAR
MNMONGOLIA
MOMACAO
MQMARTINIQUE
MRMAURITANIA
MSMONTSERRAT
MTMALTA
MUMAURITIUS
MVMALDIVES
MWMALAWI
MXMEXICO
MYMALAYSIA
MZMOZAMBIQUE
NANAMIBIA
NCNEW CALEDONIA
NENIGER
NFNORFOLK ISLAND
NGNIGERIA
NINICARAGUA
NLNETHERLANDS
NONORWAY
NPNEPAL
NRNAURU
NUNIUE
NZNEW ZEALAND
OMOMAN
PAPANAMA
PEPERU
PFFRENCH POLYNESIA
PGPAPUA NEW GUINEA
PHPHILIPPINES
PKPAKISTAN
PLPOLAND
PMSAINT PIERRE AND MIQUELON
PNPITCAIRN
PSPALESTINIAN TERRITORY, OCCUPIED
PTPORTUGAL
PYPARAGUAY
QAQATAR
REREUNION
ROROMANIA
RURUSSIAN FEDERATION
RWRWANDA
SASAUDI ARABIA
SBSOLOMON ISLANDS
SCSEYCHELLES
SDSUDAN
SESWEDEN
SGSINGAPORE
SHSAINT HELENA
SISLOVENIA
SJSVALBARD AND JAN MAYEN
SKSLOVAKIA
SLSIERRA LEONE
SMSAN MARINO
SNSENEGAL
SOSOMALIA
SRSURINAME
STSAO TOME AND PRINCIPE
SVEL SALVADOR
SYSYRIAN ARAB REPUBLIC
SZSWAZILAND
TCTURKS AND CAICOS ISLANDS
TDCHAD
TFFRENCH SOUTHERN TERRITORIES
TGTOGO
THTHAILAND
TJTAJIKISTAN
TKTOKELAU
TLTIMOR-LESTE
TMTURKMENISTAN
TNTUNISIA
TOTONGA
TRTURKEY
TTTRINIDAD AND TOBAGO
TVTUVALU
TWTAIWAN
TZTANZANIA, UNITED REPUBLIC OF
UAUKRAINE
UGUGANDA
UMUNITED STATES MINOR OUTLYING ISLANDS
USUNITED STATES
UYURUGUAY
UZUZBEKISTAN
VAHOLY SEE (VATICAN CITY STATE)
VCSAINT VINCENT AND THE GRENADINES
VEVENEZUELA
VGVIRGIN ISLANDS, BRITISH
VNVIET NAM
VUVANUATU
WFWALLIS AND FUTUNA
WSSAMOA
XKKOSOVO
YEYEMEN
YTMAYOTTE
ZASOUTH AFRICA
ZMZAMBIA
ZWZIMBABWE

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

endpoint_pfileEndpoint Reference File

Holds the digital endpoints tied to an NPI, such as Direct secure messaging addresses or FHIR API URLs. A provider can have any number of endpoints, so they live in their own file keyed by NPI.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

No coded values. This is a free-text, numeric, or date field.

About this dataset

The Medicare Order and Referring file lists every physician and non-physician practitioner who is of an eligible type or specialty and has an approved Medicare enrollment record in PECOS, meaning they can legally order or refer Part B, DME, home health, and hospice services. CMS updates it twice a week, and only the single most current file is ever available for download. Deceased providers are excluded, and there are no duplicate rows: when two providers share a name, their NPIs keep them distinct.

ColumnTypeDefinition
NPINUMBER (10)National Provider Identifier of the ordering or referring provider.
LAST_NAMEVARCHAR Legal last name of the provider. Name suffixes such as Jr. are not shown.
FIRST_NAMEVARCHAR Legal first name of the provider.
PART_BVARCHAR (1)Whether the provider can refer to Part B, meaning clinical laboratory and imaging. Y yes, N no.
DMEVARCHAR (1)Whether the provider can order Durable Medical Equipment. Y yes, N no.
HHAVARCHAR (1)Whether the provider can refer to a Home Health Agency. Y yes, N no.
PMDVARCHAR (1)Whether the provider can order Power Mobility Devices. Y yes, N no.
HOSPICEVARCHAR (1)Whether the provider can refer to Hospice. Y yes, N no.

Why this file exists

CMS turned on Phase 2 denial edits on January 6, 2014. Since then, claims from clinical laboratories, imaging centers, suppliers of Durable Medical Equipment, and Part A Home Health Agencies are denied when they list an ordering or referring provider whose individual NPI is not valid and enrolled. Power Mobility Device claims got their own denial edit on April 7, 2014, and Critical Access Hospital Method II claims got theirs on January 6, 2014. Since June 3, 2024, hospice claims are denied when the physician who certified the need for hospice is not enrolled in or opted out of Medicare.

A provider not on this list is not always ineligible

Because the file only contains providers with an approved PECOS record, a provider whose enrollment is still pending contractor review will not appear here yet, even though their application has been submitted. CMS tracks those in a separate Initial Applications Pending Contractor Review file. Absence from the Order and Referring list is not proof that a provider cannot order or refer.

Plain-English definitions for the terms behind the data. These explain the words themselves. For column-level detail, use the NPPES Data File tab. Each term links out to a full guide where one exists.

Covered Health Care Provider

A person trained and licensed to perform health care services, or a place licensed to do so. Doctors, nurses, and hospitals are all examples.

Employer Identification Number (EIN)

The number the IRS assigns to a business. Also called a Tax ID.

Entity Type Code

The field that marks whether an NPI belongs to an individual (code 1) or an organization (code 2).

Entity Type 1

The NPI type issued to individual people, such as physicians, dentists, nurses, and pharmacists.

Entity Type 2

The NPI type issued to organizations, such as hospitals, group practices, clinics, laboratories, and pharmacies.

Enumerator

The organization under contract with HHS that assigns NPIs, processes applications, and maintains the NPPES database.

Individual Health Care Provider

A health care provider who is a human being. These are Entity Type 1 providers.

IRS Individual Taxpayer Identification Number (ITIN)

A number the IRS assigns to individuals who are not eligible for a Social Security Number.

Legal Entity

The covered entity ultimately responsible for complying with HIPAA rules and for keeping its subparts and health care components in compliance.

National Provider Identifier (NPI)

A system for uniquely identifying every provider of health care services, supplies, and equipment. NPIs are 10-position, all-numeric numbers assigned by NPPES.

National Provider System (NPS)

The former name for what is now called the National Plan and Provider Enumeration System (NPPES).

National Plan and Provider Enumeration System (NPPES)

The CMS system that identifies and uniquely enumerates health care providers and plans at the national level.

Nonhealth Care Services

Atypical services indirectly related to health care that fall outside the definition of health care services, such as taxi service or home and vehicle modifications.

Organization Health Care Provider

A health care provider that is not an individual, such as a hospital, clinic, or pharmacy. These are Entity Type 2 providers.

Social Security Number (SSN)

A number the Social Security Administration assigns to an individual.

Subpart

A component or separate physical location of an organization provider, such as a hospital outpatient department or one location of a provider chain.

Tax ID

Another name for the Employer Identification Number assigned by the IRS.

Taxonomy Code

An administrative code set that classifies health care providers by type, classification, and specialization.

See these fields filled in for a real provider.Look up any doctor or organization by name or NPI to view the same data mapped to a live NPPES record.

NPI Lookup

Sources

  1. Centers for Medicare & Medicaid Services, "NPPES Data Dissemination, Readme," version 2, updated May 12, 2026. Provides the file layouts for the Data File and the Other Name, Practice Location, and Endpoint reference files.
  2. Centers for Medicare & Medicaid Services, "NPPES Data Dissemination, Code Values," effective February 1, 2025. Provides the code tables for entity type, sex, deactivation reason, name type, taxonomy switch, group taxonomy, and other coded fields.
  3. Centers for Medicare & Medicaid Services, "Medicare Order and Referring" dataset, data dictionary, and methodology, data.cms.gov. Covers the NPI, name, and Part B, DME, HHA, PMD, and hospice eligibility flags.
  4. Centers for Medicare & Medicaid Services, "Medicare Provider Enrollment," MLN publication 9658742. Background on PECOS enrollment behind the Order and Referring file.
  5. Centers for Medicare & Medicaid Services, "National Provider Identifier (NPI) Glossary of Terms." Source for the Quick Terms definitions.