How many new NPIs are issued each week

New NPIs by day

NPI Weekly counted every NPI in CMS's November 2026 monthly file whose enumeration date falls in the week. Enumeration happens on weekdays: Saturday had a few hundred, and every Sunday in the file's last three weeks has none.

Individuals and organizations

Of the week's 11,697 new NPIs, NPI Weekly found 9,082 individuals (NPI-1) and 2,615 organizations (NPI-2). Every organization record names an authorized official with a title and phone number; for 841 of them that phone differs from the practice phone.

Top states

The file uses 62 state codes, because it includes DC, the territories, military addresses and a few foreign provinces.

Top primary specialties

Behavioral health technicians led by far, at 2,509 of 11,697. 1,735 of them have no license state, because the role needs no license, which matters if your list is meant to reach licensed clinicians.

What to clean before using the list

• License state: filled for 63% of individuals (5,724 of 9,082); NPPES has no license field for organizations.
• Addresses outside the US: 11 records (7 Canada, 2 Mexico, 1 Greece, 1 India), with free-text province names in the state field.
• Military addresses: 2 records use APO codes (AE, AP) and have no real state.
• PO boxes as the practice address: 75 records, which are not walk-in locations.
• Credentials inside names, such as "FNP" or "PHARMD": split them out before a mail merge.
• Already edited: 241 records were updated after their enumeration date, so the file shows the edited version.

How we checked the numbers

• No duplicate NPIs, and every enumeration date falls between 26 October and 1 November 2026.
• Wyoming: a full walk of the live NPI Registry (2,985 searches, 18,803 providers) found 33 NPIs enumerated that week. CMS's monthly file has the same 33, none missing on either side.
• Vermont: the live registry returned 24 new NPIs for the week and the file has the same 24.
• Spot check: 50 random new NPIs from the week were all in the live registry with the same enumeration date.

Deactivations in the same weeks

CMS's deactivation report of 2 November 2026 shows a steady rate. An NPI created and deactivated inside the same week is the only kind a new-NPI list can miss, and CMS does not publish how many those are; the weekly total below is the upper bound.

Get the new NPIs for your states every week

NPI Weekly sends this list each week for the states, specialties and ZIP codes you choose, with individuals and organizations, practice address and phone, specialty and license state as CMS publishes them, and a label saying how the week was built. Plans start at $29 a month for one state.

Questions

Guides and answers

• New NPI numbers by enumeration date: where CMS publishes them