{"uid":"cap_1rMT9oPwVGPhKfW-Lmabh","slug":"npi-verify-cms-nppes-status-hhs-oig-leie-exclusion-lookup-8d3d9a60","name":"NPI Verify — CMS NPPES Status & HHS-OIG LEIE Exclusion Lookup","description":"For 1 to 10 NPIs, the CMS NPPES status of each (active or deactivated, with deactivation and reactivation dates), provider name or organization, practice city, state and ZIP and taxonomies, plus any HHS-OIG LEIE exclusion listed under the NPI, as facts from the files: not a credential check and not a determination about the provider.","url":"https://api.flipvo.com/v1/npi/verify?utm_source=zero.xyz","method":"POST","headers":{},"bodySchema":{"type":"object","properties":{"npis":{"type":"array","items":{"type":"string","pattern":"^[0-9]{10}$"},"title":"Npis","examples":[["1407013493","1427908037"]],"maxItems":10,"minItems":1,"description":"1 to 10 National Provider Identifiers: 10 digits each, the last a valid check digit (Luhn over 80840 + the NPI). No duplicates."}}},"responseSchema":{"type":"json","example":{"source":"CMS NPPES data dissemination (https://download.cms.gov/nppes/NPI_Files.html) and HHS-OIG LEIE (https://oig.hhs.gov/exclusions/)","results":[{"npi":"1407013493","name":null,"status":"active","exclusions":[],"taxonomies":[{"code":"291U00000X","primary":true,"description":"Laboratories/Clinical Medical Laboratory","license_state":"FL","license_number":"800023384"}],"updated_on":"2008-10-06","entity_type":"organization","enumerated_on":"2008-05-19","deactivated_on":null,"reactivated_on":null,"replacement_npi":null,"sole_proprietor":null,"organization_name":"ACCESS PATHOLOGY INC","practice_location":{"city":"TAMPA","zip5":"33617","state":"FL"},"other_organization_name":null},{"npi":"1427908037","name":null,"status":"deactivated","exclusions":[],"taxonomies":[],"updated_on":null,"entity_type":null,"enumerated_on":null,"deactivated_on":"2026-09-21","reactivated_on":null,"replacement_npi":null,"sole_proprietor":null,"organization_name":null,"practice_location":null,"other_organization_name":null}],"coverage":"NPPES only (the CMS monthly file plus its weekly updates, so up to a week behind CMS's own NPI Registry) and the HHS-OIG LEIE by NPI only, the file of 2026-09-10 with actions through August 2026: not SAM.gov, state Medicaid lists or licensing boards. An NPI is not a license or credential. These are facts from the files, not a determination about a provider: a not_found NPI or an empty exclusions list certifies nothing. The OIG requires a possible match to be confirmed on its online search (https://exclusions.oig.hhs.gov) with the SSN or EIN before any action. Not for employment or credit decisions about a person (FCRA). Not endorsed by CMS or HHS.","data_as_of":{"leie":"2026-09-10T12:13:06Z","nppes":"2026-09-14T08:54:39Z","nppes_weekly":"2026-09-28T07:06:35Z"}}},"example":null,"exampleRequest":null,"tags":["x402"],"displayCostAmount":"0.01","displayCostAsset":"USDC","priceDynamic":false,"priceHint":null,"priceStatus":"priced","priceSource":"probe","requiresHandshake":false,"reviewCount":0,"rating":{"score":"0.00","successRate":"0.00","reviews":0,"stars":null,"state":"unrated"},"availabilityStatus":"unknown","priceObserved":null,"sessionDeposit":null,"pricing":{"kind":"static","summary":"$0.01/call","primary":{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.01","per":"call","confidence":"exact"},"accepted":[{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.01","per":"call","confidence":"exact"}]},"paymentMethods":[{"uid":"pm_5hvDaNTWbej-ae2yKrqJL","protocol":"x402","methodType":"crypto","chain":"base","mode":"charge","costAmount":"0.01","costPer":"request","priority":0,"asset":"0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913","unit":"request","depositMicros":null,"planRef":null}],"brandName":null,"brandSlug":null,"brandBaseUrl":null,"brandDocsUrl":null,"whatItDoes":"Returns CMS NPPES enrollment status, provider details, and HHS-OIG LEIE exclusion records for 1–10 National Provider Identifiers in a single call.","exampleAgentPrompt":"Can you check the NPPES status and OIG exclusion records for these two NPIs: 1407013493 and 1427908037 — I need to know if they're active, their practice location, taxonomies, and whether either has an LEIE exclusion listed?","exampleUseCases":[{"title":"Pre-billing NPI status verification","prompt":"Before we submit these claims, check NPPES status and OIG exclusion for these three NPIs: 1407013493, 1234567893, and 1558397537 — I need active/deactivated status, practice state, and whether any are on the exclusion list."},{"title":"Onboarding provider compliance screen","prompt":"We're onboarding a new referring physician with NPI 1811975259 — can you pull their NPPES enrollment status, organization name, practice city and state, taxonomies, and flag any HHS-OIG LEIE exclusions?"},{"title":"Bulk exclusion screening for payer audit","prompt":"Run an OIG exclusion and NPPES status check on these five NPIs for our quarterly audit: 1407013493, 1427908037, 1558397537, 1811975259, and 1003000126 — give me active/deactivated status and any exclusion hits for each."}],"resultDescription":"A JSON object with a results array, one entry per NPI, each containing: NPI status (active, deactivated, or not_found), provider or organization name, entity type, practice city/state/ZIP, taxonomy codes with descriptions and license info, enumeration date, deactivation and reactivation dates, replacement NPI if applicable, and an exclusions array of any HHS-OIG LEIE records matched by NPI. Also includes data_as_of timestamps for both NPPES and LEIE files and a coverage disclaimer.","failureModes":["Invalid NPI format (not 10 digits or failed Luhn check) — 422 validation error","Duplicate NPIs in request array — validation error","More than 10 NPIs submitted — 422 validation error","NPI not found in NPPES — returned with status 'not_found', no name or location","Data may be up to one week behind CMS NPI Registry due to monthly file + weekly update cadence","LEIE exclusion match by NPI only — does not confirm identity; OIG requires SSN/EIN confirmation","Payment not received or wallet issue — 402 Payment Required"],"whenToPreferThis":"Choose this endpoint when you need a fast, affordable ($0.01/call) programmatic lookup of CMS NPPES enrollment status and HHS-OIG LEIE exclusion data for 1–10 NPIs simultaneously. Prefer it over manual CMS registry lookups for automation pipelines, pre-billing compliance checks, or provider onboarding screening where batch NPI verification is needed. Note it covers NPPES and LEIE by NPI only — not SAM.gov, state Medicaid exclusion lists, or licensing boards — so it is a data fact lookup, not a full credentialing determination.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-10-12T12:35:11.669Z","isFirstParty":false,"canonicalSlug":"npi-verify-cms-nppes-status-hhs-oig-leie-exclusion-lookup-8d3d9a60"}