decisionhealth Newsletters, Part B News - 2007 Issue 5 (May)
CMS to maintain public list and searchable database to share NPIs
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Article Overview
This article explains CMS’s plan to disseminate National Provider Identifier (NPI) information through a monthly downloadable list and a searchable database. It covers the policy background, the timing of publication, the types of provider information included in the public records, and the privacy-related exclusions and access considerations relevant to providers and billing offices.
Why This Topic Matters
Providers, billing staff, and compliance teams need to understand how NPI information will be shared publicly, what identifying details may appear in CMS resources, and what information remains protected. The article is relevant to organizations that rely on accurate provider identifiers for claims processing, directory lookups, and administrative workflows.
What You Will Learn
- How CMS planned to make NPI information publicly available
- What general provider details may appear in CMS access tools
- Which categories of personal information are excluded from public release
- Why the policy matters for claim-related provider identifier requests
Who Should Read This
- Physician practices
- Billing and coding staff
- Compliance teams
- Healthcare administrators
- Revenue cycle professionals
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