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NPI Lookup

Find any rendering provider on NPPES in one search. Start now with five free lookups a day.

What Is an NPI Number?

Structure of a National Provider IdentifierA National Provider Identifier is a unique 10-digit number whose last digit is a Luhn check digit. NPI-1 identifies individual providers; NPI-2 identifies organizations.A unique 10-digit identifier123456789310 digits. The last is a Luhn check digit.Individual NPINPI-1Physicians, NPs, PAs, dentists,and other individual providers.Example1234567893Group NPINPI-2Clinics, hospitals, labs,and other organizations.Example1982643567

An NPI (National Provider Identifier) is a unique 10-digit number assigned to healthcare providers by the Centers for Medicare & Medicaid Services (CMS). All HIPAA-covered providers must have an NPI. HCC Buddy searches 9.37 million providers from the NPPES registry with partial-name matching and credential parsing, so coders can verify a rendering provider without leaving their ICD-10 workflow.

How It Works

Search by name

Enter a provider's first or last name. Credentials such as MD, DO, NP, and PA are auto-detected.

Filter by state

Narrow results to a specific state or territory by typing the abbreviation in the query.

Expanded matching

The lookup checks alternate spellings and common transcription variants automatically.

Why NPI lookup matters in HCC coding

Risk adjustment audits require coders to verify that each diagnosis has a qualified rendering provider. When a provider name in the chart doesn't match the NPI on the claim, or a group NPI is used where an individual NPI is required, it creates an audit exposure. The NPI lookup inside HCC Buddy lets coders verify provider records during the coding session, without switching to the NPPES website or a separate tab.

The lookup returns NPI type (individual or organization), taxonomy codes, practice address, and last NPPES update date, covering the fields most often needed during RADV preparation and chart review.

Open NPI Lookup in Encoder
9,370,000+
Providers
50+
States and territories
Monthly
Data updates

Refreshed monthly from CMS NPPES Full Replacement file

Frequently Asked Questions

Coder workflow notes

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