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What data fields are required to submit a report to the NPDB?

When submitting a report to the National Practitioner Data Bank (NPDB), reporting entities should complete as many data fields as possible. Specific information required depends on the type of report being submitted. Required information helps ensure that reports are accurate, complete, and useful to organizations that query the NPDB.

Sections of the report form include:

  1. Subject Information - identifying and background information for the practitioner such as:
    1. Full name and any other names used
    2. Sex
    3. Date of birth
    4. Home or work address
    5. Organization name
    6. Professional licenses and certifications
    7. Education institutions attended for professional degree, training, or certification
    8. Identification numbers such as:
      • Social Security Number (SSN)
      • National Provider Identifier (NPI)
      • Drug Enforcement Administration (DEA) Number
    9. Health care entity affiliations
  2. Action Information - the action taken, including details necessary to accurately describe the reportable event
  3. Narrative Description - background information to explain the circumstances that led to the report and the action taken by the reporting entity.
  4. Certifier Information - the information for the individual authorized to attest that the information contained in the report is true, accurate, and complete, and submit the report on behalf of the reporting entity.

Reporting entities are expected to use available resources and reasonable methods to obtain and provide all required information before submitting a report.

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