Healthcare IDs Get Overhaul: New Rules for Provider Data Sharing
Published Date: 7/31/2025
Notice
Summary
Starting January 20, 2025, healthcare providers applying for a National Provider Identifier (NPI) will see some changes in the info they need to share with the National Plan and Provider Enumeration System (NPPES). These updates come from a new Executive Order and will affect the public data you can download or look up online. Providers should get ready for these changes to keep their info up to date and accurate.
Analyzed Economic Effects
2 provisions identified: 0 benefits, 2 costs, 0 mixed.
Providers Must Supply Updated NPPES Data
If you are a healthcare provider applying for a National Provider Identifier (NPI), you will need to provide a changed data element to the National Plan and Provider Enumeration System (NPPES) starting January 20, 2025, per Executive Order 14168. Providers should prepare to update and keep their NPI application information accurate under the new collection rules.
Public NPPES Download and Query Data Will Change
Public-facing NPPES data available in downloadable files and the online query-only database will reflect the changed data element as a result of the January 20, 2025 Executive Order (14168). Organizations and individuals who download or query NPPES data should expect the public files and query results to differ after that date.
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