# How many new NPIs are issued each week

By Rotomal team · Updated 2026-11-08 · Part of [NPI Weekly](https://rotomal.com/new-provider-radar/)

**Short answer:** NPI Weekly counted 11,697 NPIs first enumerated from Monday 26 October to Sunday 1 November 2026: 9,082 individuals (NPI-1) and 2,615 organizations (NPI-2). The count comes from CMS's November 2026 monthly NPPES file (V2, published 3 November). California had the most (1,890), and behavioral health technicians were the largest single specialty (2,509), about one new NPI in five.

## 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.

| Day | New NPIs |
| --- | --- |
| Mon 26 Oct 2026 | 2,855 |
| Tue 27 Oct | 2,481 |
| Wed 28 Oct | 2,301 |
| Thu 29 Oct | 2,091 |
| Fri 30 Oct | 1,577 |
| Sat 31 Oct | 392 |
| Sun 1 Nov | 0 |
| Total | 11,697 |

## 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.

| State | New NPIs, 26 Oct – 1 Nov 2026 |
| --- | --- |
| California | 1,890 |
| Florida | 815 |
| Texas | 749 |
| New York | 597 |
| Ohio | 565 |
| Michigan | 561 |

## 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.

| Primary specialty | New NPIs |
| --- | --- |
| Behavioral health technician | 2,509 |
| Counselor | 691 |
| Registered nurse | 524 |
| Student in training | 400 |
| Clinical social worker | 340 |

## 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.

| Week | Deactivated NPIs (all ages) |
| --- | --- |
| 19 – 25 Oct 2026 | 688 |
| 26 Oct – 1 Nov 2026 | 689 |
| Average week, 1 Sep – 18 Oct 2026 | 689 |

## 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.

## FAQ

### How many new NPIs are issued per week?

In the week of 26 October to 1 November 2026, NPI Weekly counted 11,697 newly enumerated NPIs in CMS's November monthly file: 9,082 individuals and 2,615 organizations.

### Which state gets the most new NPIs?

California, with 1,890 of the week's 11,697 new NPIs, followed by Florida (815), Texas (749) and New York (597), as counted by NPI Weekly from CMS's November 2026 file.

### Why are so many new NPIs behavioral health technicians?

They were 2,509 of the week's 11,697 new NPIs in NPI Weekly's count. Most of them (1,735) list no license state, since the role needs no license, so filter by specialty if you want licensed clinicians.

### Are NPIs issued on weekends?

Rarely. In the week NPI Weekly counted, Saturday 31 October had 392 new NPIs and Sunday had none, and every Sunday in the file's last three weeks had none.

## Sources

- CMS: NPPES monthly data dissemination file, November 2026 (V2) https://download.cms.gov/nppes/NPPES_Data_Dissemination_November_2026_V2.zip
- CMS: NPPES deactivated NPI report, 2 November 2026 https://download.cms.gov/nppes/NPPES_Deactivated_NPI_Report_110226_V2.zip
- CMS: NPPES downloadable files page https://download.cms.gov/nppes/NPI_Files.html
- CMS: NPPES NPI Registry https://npiregistry.cms.hhs.gov/

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Rotomal · https://rotomal.com/new-provider-radar/new-npis-per-week/ · hello@rotomal.com