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Provider Data

NPPES Provider Golden Record

US healthcare providers — validated, deduped, PECOS-enrolled, OIG-flagged, geo-enriched, FHIR-ready.

9M+ providers, refreshed weekly

Weekly, within days of each CMS release

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About this product

Every team that builds on NPPES eventually builds the same thing — a cleanup layer to make the raw registry usable: address scrubbers, dedup logic, exclusion cross-checks, FHIR mapping. It's the project nobody budgeted for and everybody ends up owning. We built it once, so your team doesn't have to.

The NPPES Provider Golden Record is the cleaned, deduplicated, enriched version of the national provider registry — refreshed weekly within days of each CMS release. We validate every practice address against USPS postal records, resolve duplicate NPI pairs with tiered-confidence scoring, cross-reference each NPI against CMS PECOS for Medicare enrollment and specialty, and flag OIG/LEIE exclusions and deactivated NPIs before they reach your billing team.

We enrich every address with census tract, CBSA metro, HPSA shortage scores, legislative districts, and a native Snowflake GEOGRAPHY column for spatial queries — and publish pre-built FHIR R4 Practitioner, Organization, Location, and PractitionerRole resources. One weekly-refreshed source of truth for revenue cycle, credentialing, network planning, compliance, and TEFCA-ready interop.

Questions it answers

  • Which providers in my network have an active OIG exclusion or a deactivated NPI?

  • Are the practice addresses in my roster deliverable, and which ZIPs are driving claim denials?

  • Which of these NPIs are actually the same physician appearing more than once?

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dataplex

Analysis-ready public data products for healthcare, delivered on the platform you already use.

© 2026 Dataplex Consulting & Data Products

dataplex

Analysis-ready public data products for healthcare, delivered on the platform you already use.

© 2026 Dataplex Consulting & Data Products

dataplex

Analysis-ready public data products for healthcare, delivered on the platform you already use.

© 2026 Dataplex Consulting & Data Products