OMB control number
National Plan and Provider Enumeration System (NPPES) Supplemental Data Collection (CMS-10749)
OMB 0938-1427 · HHS/CMS.
OMB 0938-1427
The National Provider Identifier Application and Update Form is used by health care providers to apply for NPIs and furnish updates to the information they supplied on their initial applications. The form is also used to deactivate their NPIs if necessary. The original application form was approved in February 2005 and has been in use since May 23, 2005. The form is available on paper or can be completed via a web-based process. Health care providers can mail a paper application, complete the application via the web-based process via the National Plan and Provider Enumeration System (NPPES), or have a trusted organization submit the application on their behalf via the Electronic File Interchange (EFI) process. The Enumerator uses the NPPES to process the application and generate the NPI. NPPES is the Medicare contractor tasked with issuing NPIs, and maintaining and storing NPI data. The National Provider Identifier (NPI) Application processes over 1 million new provider and/or updates to existing application annually.
The latest form for National Plan and Provider Enumeration System (NPPES) Supplemental Data Collection (CMS-10749) expires 2029-04-30 and is listed under ICR 202509-0938-023.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10749 NPPES Application | Form and Instruction |
| Form CMS-10749 NPPES Application | Form and Instruction |
| CMS-10749 NPPES Supplemental Supporting Statement Part A REDLINE_3.30.26.pdf (document unavailable) | Supplementary Document |
| CMS10749Crosswalk.pdf (document unavailable) | Supplementary Document |
 CMS-10749. NPPES Supplemental Supporting Statement Part A_3.30.26.docx | Supporting Statement A |
| CMS-10749. NPPES Supporting Statement Part A.docx | Supporting Statement A |
 NPPES Web Application (EFI process) |
Form and Instruction |
| NPPES Web Application (EFI process) |
Information collection |
| NPPES WEB Application |
Form and Instruction |
| NPPES WEB Application |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202509-0938-023 | Reinstatement without change of a previously approved collection | 2025-09-25 | ||
| 202208-0938-006 | Existing collection in use without an OMB Control Number | 2022-08-04 | Approved with change |
OMB Details
NPPES WEB Application
Federal Enterprise Architecture: Health - Health Care Services
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form CMS-10749 | NPPES Application | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.