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NPI Lookup

Search NPPES by provider name or NPI. Start with five free lookups a day.

  • Reviewed 2026-05-28
  • By the HCC Buddy Coding Team
  • CMS V28 current

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 identifier assigned to healthcare providers through CMS NPPES. HIPAA-covered health care providers must obtain an NPI. Use the lookup to compare registry details with the provider information you are reviewing. An NPI does not establish licensing, credentialing, Medicare enrollment or eligibility to report a diagnosis. See CMS NPI Registry guidance.

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

Compare the provider name, individual or organization type, and other available registry details with the record under review. A match identifies a registry record. Verify licensing, enrollment and the applicable program's provider and encounter requirements separately; the lookup does not make those determinations.

Results can include individual or organization type, taxonomy, credentials and practice address. These are registry details, not an independent credentialing review. Confirm important information with the appropriate primary source.

Open NPI Lookup in Encoder
Type 1
Individual registry records
Type 2
Organization registry records
NPPES
Source registry

Registry records identify providers; they do not certify licensing or reporting eligibility.

Frequently Asked Questions

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