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Is your NPI registry record telling patients the wrong address?

Your NPI number never changes, but the address attached to it does not update itself. Here is what CMS's NPPES system actually controls, and how to correct it.

By Mariya Di Luzio, Founder and Creative Strategist · Published · 6 min read

The short answer

Possibly. Your NPI registry record shows only what you or your billing service last submitted to CMS's NPPES system, and federal rules require an update within 30 days of any change1, but many practices skip this step after a move. Since directories, insurers and AI assistants copy this public data, an old address can spread everywhere.

Key takeaways

  • Your NPI registry address is only as current as your last NPPES update, not something CMS keeps in sync automatically.
  • Federal regulation 45 CFR 162.410(a)(4) gives providers 30 days to report a required data change, and accuracy matters more than the enforcement risk.
  • Fix NPPES first, because directories and AI tools rebuild their own listings from that public data on a rolling schedule.

What is the NPI registry, and why might it show an old address?

The National Provider Identifier (NPI) is a 10-digit, intelligence-free number that CMS assigns to every covered health care provider and organization under HIPAA's administrative simplification standard2. It never changes, and by design it carries no information about your specialty or location2. The address that shows up next to your NPI in the public NPI Registry is not generated by CMS. It is whatever practice location and mailing address you, your billing company or your credentialing service last entered into the National Plan and Provider Enumeration System, known as NPPES. NPPES creates one record per provider and only changes that record when someone submits an update3. If your practice moved, merged locations or changed suites and nobody logged back in to correct NPPES, the registry keeps showing the old address, because nothing in the system prompts a change on its own.

Which parts of your NPPES record are public?

Most of what you submit to NPPES becomes public. The 2007 Federal Register notice that set the data dissemination policy lists the specific data elements CMS must disclose under the Freedom of Information Act, including practice address, mailing address, phone number and taxonomy code3. Two elements are withheld: Social Security numbers and dates of birth are not released, because HHS determined they are not disclosable under FOIA3. Everything else is visible for free in the NPI Registry, a query-only database CMS updates daily, and in downloadable bulk files any organization can import4. There is no way to opt out or suppress the record for an active NPI4. That matters if you were hoping a wrong address was a privacy setting you could simply switch off.

What's public in your NPPES record
Data elementPublic in the NPI Registry?How to change it
NPI numberYes, permanentlyCannot be changed; the number stays with the provider for life2
Practice location addressYesLog into NPPES or submit form CMS-101144
Mailing addressYesSame as above; a PO box is allowed only for home-based or telehealth-only providers5
Phone and fax numberYesUpdate online through your NPPES account4
Taxonomy or specialty codeYesUpdate online through your NPPES account4
Social Security number and date of birthNoNever disclosed publicly under FOIA3

How do you correct an address in NPPES?

Providers who applied online can log back into their NPPES account and edit the address themselves4. If you never set up an online account, or someone else did years ago, you can call the NPI Enumerator or email them, or mail a signed CMS-10114 Application/Update Form4. Whoever submitted your original application, including a billing service or credentialing company acting as an Electronic File Interchange Organization, can also push the correction through if you still work with them1. Federal regulation 45 CFR 162.410(a)(4) requires covered providers to notify NPPES within 30 days of any change to a required data element, which includes your practice address1. Providers who furnish services exclusively from home, such as some telehealth practitioners, may also list a PO box instead of a home address as their mailing address5. In practice, most practices update NPPES only when someone remembers to, well past that 30-day window.

  1. Log into your account at nppes.cms.hhs.gov and open your provider record.
  2. If you cannot access the account, call the NPI Enumerator at 1-800-465-3203 or email customerservice@npienumerator.com4.
  3. Update the practice location address, mailing address and phone number, then save the changes.
  4. Check the public NPI Registry the next day, since it updates daily, to confirm the correction shows4.
  5. Tell your billing company or Electronic File Interchange Organization about the move so they do not resubmit the old address later.

Why do directories and AI assistants keep repeating the wrong address?

NPPES data is built to be reused. CMS makes a full replacement monthly file, weekly incremental updates and a full deactivation file available for free download specifically so health plans, clearinghouses, directory sites and data vendors can build their own databases from it6. Once a wrong address sits in that bulk file, it gets copied into insurance directories, provider look-up tools and, in practice, into the structured listings that AI assistants and search tools draw on when a patient asks where to find you. This is the same copying pattern described in how a health practice becomes the one AI recommends. Correcting the source record in NPPES does not instantly erase every copy already sitting in someone else's database, but it stops new copies from spreading and gives you one authoritative record to point to when you ask a directory to fix its listing.

What NPPES accuracy will not do for you

Correcting NPPES is necessary, but it is not the whole job. It will not automatically update your Google Business Profile, your listing on an insurance company's site, or old citations already spread across directories, which is the same consistency problem covered in NAP consistency for a health practice. It also will not remove a deactivated NPI from public view: once a provider's NPI is deactivated, that provider cannot view or edit the record at all, and CMS will only display the deactivated NPI and its deactivation date6. And fixing your address does not change the NPI itself, since the number is permanent and, by design, never carries location or specialty information2. Think of NPPES as one input to correct, not the whole fix. If you want a quick outside check of what patients, search engines and AI tools currently see about your practice, run the free credibility audit.

Questions practice owners ask

Does fixing my NPPES record automatically fix Google Business Profile or Healthgrades?

No. NPPES is only the CMS system behind your NPI. Other directories built their own listings, sometimes years ago, and most will not notice an NPPES correction on their own. You still need to update Google Business Profile, insurance directories and other listings separately once your NPPES address is right.

How long does it take for an NPPES correction to show up publicly?

The NPI Registry is a query-only database that CMS updates daily, so a correction usually appears within a day or two of saving it. The downloadable bulk files that directories and vendors use are refreshed on a monthly and weekly schedule, so those copies can lag behind the registry.

Can I ask CMS to remove or hide my address from the public NPI Registry?

No. There is no opt-out or suppression option for an active NPI record. Every FOIA-disclosable data element, including your address, stays visible in the registry and downloadable files as long as the NPI is active.

What if a billing company or credentialing service set up our NPPES account?

Ask them to log in and correct the address, since they may hold the original login. If you cannot reach them or do not know who set it up, you can still update the record yourself online or contact the NPI Enumerator directly to regain access.


Sources, and how much weight each one carries

  1. Federal Register / govinfo.gov, "National Plan and Provider Enumeration System (NPPES) Data Changes," July 31, 2025.
    Official Federal Register notice from HHS/CMS, a strong primary regulatory source citing 45 CFR 162.410(a)(4).
  2. CMS, "National Provider Identifier Standard (NPI)," accessed September 2026.
    Official CMS program page defining the NPI standard; primary government source.
  3. Federal Register, "HIPAA Administrative Simplification: National Plan and Provider Enumeration System Data Dissemination," May 30, 2007.
    Original Federal Register notice establishing FOIA-disclosable NPPES data elements; primary regulatory source.
  4. HHS, "Data Dissemination: Announcing Changes to the National Plan and Provider Enumeration System (NPPES) Downloadable File," February 11, 2020.
    Official HHS/CMS guidance document on NPPES data access and provider update procedures; primary government source.
  5. Federal Register, "National Plan and Provider Enumeration System (NPPES) Data Changes," March 4, 2024.
    Federal Register notice on NPPES data element changes, including address and PO box rules; primary regulatory source.
  6. CMS, "Data Dissemination," accessed September 2026.
    Official CMS page on NPPES downloadable files and deactivated NPI handling; primary government source.

This article is about marketing, website and compliance practice. It is not medical or legal advice, and nothing in it is intended to diagnose, treat, cure or prevent any disease. For a decision about your own practice, speak with a qualified attorney or the relevant regulator.

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