Enrollment snapshot
See a provider's public enrollment record. Before anything is filed.
Enter an NPI. The snapshot reads the NPPES registry and the Medicare enrollment and revalidation files CMS publishes, then tells you what to check next. It is free, with no sign-up.
One number in, three public records out.
Enrollment snapshot
- The NPPES registry
- The Medicare enrollment file
- The Medicare revalidation list
NPPES registration
Medicare enrollment
Medicare revalidation
What to check next
We can check the parts public data cannot show. The NPI and the name stay on this page.
Ask for a review of this recordNo patient information is asked for or touched. The number you enter is never written to a log, and each result is kept for a day in our server cache.
What each line tells you.
NPPES is the national registry that issues every NPI. Payers read it when they process an application. PECOS is Medicare's own enrollment system, and CMS publishes a slice of it as a public file. The revalidation list is where CMS posts the date each Medicare enrollment has to be renewed.
- Name and credential
- Exactly as NPPES holds them. If the name differs from the license or the CAQH profile, payers notice.
- Entity type
- Individual for a person, organization for a practice. A group bills under the organization NPI, and each provider still needs an individual one.
- Primary taxonomy
- The specialty code the provider chose in NPPES. It should match the specialty on every application.
- License
- The state license attached to that taxonomy. A provider practicing in a new state needs that state's license listed.
- Practice address
- Where care is given. Payers expect it to match the service location on the application.
- Mailing address
- Where letters go. It may differ from the practice address, and that is fine when it is intended.
- Enumerated and last updated
- When the NPI was issued and when the record last changed. A record untouched for a long time often still carries an old address.
- Medicare provider type
- How Medicare classifies the enrollment, for example a practitioner specialty or a clinic.
- Enrollment state
- The state the Medicare enrollment is filed in. A provider can hold enrollments in more than one.
- Revalidation due date
- The date CMS has set for the enrollment to be renewed. CMS posts dates only for enrollments coming due soon, so a blank usually means the date is not posted yet.
- Adjusted due date
- A due date CMS has changed from the original. When one is listed, work to that date.
Public data answers some questions. A review answers the rest.
The CMS files are published on a cycle, not live. A provider who enrolled or revalidated after the last file will not show yet, so every result names the date of the file it came from. NPPES is read at the moment of the lookup.
Some records are not public at all. The PECOS application itself, the CAQH profile, commercial payer rosters and most Medicaid enrollments sit behind a login. In a review, with the practice's own access, we compare each of them with NPPES, field by field, and tell you what to fix first.
Common questions about the snapshot.
Is the enrollment snapshot free?
Yes. There is no sign-up, no email and no limit on who can use it.
Where does the data come from?
Three public sources: the NPPES NPI Registry, the Medicare Fee-For-Service Public Provider Enrollment file and the Medicare Revalidation Due Date List. CMS runs all three. Each result names its source and the date of the file.
Why doesn't my Medicare enrollment show up?
There are three usual reasons. The provider does not bill Medicare. The enrollment was approved after CMS published its latest file. Or the number entered is the organization NPI while the enrollment sits under the individual one, or the reverse. Try the other NPI first.
Why is there no revalidation date?
CMS posts a revalidation date only when an enrollment is coming due. A blank does not mean the enrollment never needs renewing.
Do you keep the numbers people look up?
We do not log them and we do not tie them to anyone. A result is held in our server cache for a day so a repeat lookup does not call the government registries again, and then it expires.
Can it check commercial payers or Medicaid?
No. Commercial payers and most state Medicaid programs do not publish enrollment in a form anyone can read. Checking them is part of the Payer Enrollment Sprint, payer by payer.
Found something in the record? We can take it from here.
Tell us about the practice and the payers that matter.
Mention, in general terms, what the snapshot showed, so the review starts where it stopped.