Updated Monthly

US Health Maintenance Organization Practices
U.S. Location Dataset // 4,302

4,302 healthcare organizations — practices, clinics, agencies and facilities, each at its business address. 100% carry a street address, 100% a telephone number, 46% a state license number, 100% a specialty from the nucc taxonomy. Built from the CMS National Plan and Provider Enumeration System (NPPES) monthly file, the NPPES deactivation report, the NUCC provider taxonomy and the CMS Care Compare Doctors and Clinicians national file. Every deactivated NPI is removed — 351,911 of them — rather than shipped as an empty row, and the address is the practice location, never the mailing address. Coverage is 57 states and territories.

4,302Locations
49States
123Data Fields
CSVFormat

All 4,302 records, as published — the complete set rather than a sample. That matters most for coverage and gap questions: put together the same list from partial searches and every location you miss reads as a gap that is not there, so the answer is wrong rather than merely late. Assembling the U.S.-wide coverage by hand also means one query per area against sources that cap what they return per search.

●Coverage Map

US Health Maintenance Organization Practices locations in the USA

4,086 US locations · Source: LocationLists.com

Location

☆Who uses this data

Life Sciences & Medical Device Sales

Targeting and territory design by specialty taxonomy, practice address and Medicare participation rather than by purchased lead lists.

Health Systems & Recruiting

Provider supply by specialty and geography — who practises where, and where a specialty is thin.

Payers & Network Management

Network adequacy testing and directory reconciliation against the federal registry of record.

Healthcare Analytics & Research

A clean NPI spine to join claims, quality or prescribing data onto, with deactivated NPIs already removed.

✓Data quality & methodology

This dataset is built from the CMS National Plan and Provider Enumeration System (NPPES) monthly file — the federal registry every billing provider must maintain — with the NPPES deactivation report applied so retired NPIs are excluded, specialties resolved against the NUCC provider taxonomy, and Medicare participation joined from the CMS Care Compare Doctors and Clinicians national file. Nothing here is scraped from a provider's website; every record is the provider's own registered entry.

Monthly

Refresh frequency

Deduplicated

One row per NPI

Validated

Format checks on all fields

Deactivated NPIs are removed using the CMS deactivation report, specialties are resolved against the NUCC taxonomy rather than kept as raw codes, and addresses are validated to US bounds and ZIP format. Records are otherwise published as registered — the federal file is the record of truth, and correcting it would make the dataset disagree with the source buyers reconcile against.

⇆Three ways to buy this dataset

The whole file

$49

All 4,302 records as a CSV. One payment, yours to keep, no subscription.

Per record, for AI agents

—

This dataset is small enough that the whole file is the only sensible purchase. Metered queries start at 5,000 records.

API access

MCP

Connect an assistant to search, sample, quote and buy. Pay by card or stablecoin, no account needed.

{}Data Fields

npi100%name100%entity_type100%specialty100%address100%city100%state100%zip100%phone100%county99%cbsa_title97%latitude99%longitude99%organization_name100%credential0%license_number46%license_state53%medicare_specialty0%medicare_secondary_specialties0%group_practice0%group_size0%primary_facility_ccn0%facility_affiliations100%medical_school0%graduation_year0%est_years_in_practice0%oig_excluded100%npis_at_address100%last_name0%first_name0%middle_name0%name_prefix0%name_suffix0%other_organization_name18%additional_names21%primary_taxonomy_code100%provider_grouping100%classification100%specialization0%all_taxonomy_codes100%taxonomy_count100%zip_plus4100%country100%fax44%direct_address0%other_endpoint3%endpoint_count100%mailing_address100%mailing_city100%mailing_state100%mailing_zip100%mailing_country100%sex0%sole_proprietor0%organization_subpart100%parent_organization9%authorized_official100%authorized_official_first100%authorized_official_middle44%authorized_official_last100%authorized_official_title100%authorized_official_credential41%authorized_official_phone100%other_identifiers17%other_identifier_types17%other_identifier_issuers6%taxonomy_groups1%secondary_practice_locations100%enumeration_date100%last_update_date100%certification_date21%ein100%replacement_npi0%individual_pac_id0%medicare_enrollment_id0%group_pac_id0%group_address0%group_city0%group_state0%group_zip0%practices_at0%telehealth0%accepts_assignment0%group_accepts_assignment0%group_address_line2_suppressed0%medicare_enrolled0%facility_affiliation_types0%facility_ccns0%hospital_name0%hospital_address0%hospital_city0%hospital_state0%hospital_zip0%hospital_county0%hospital_type0%hospital_ownership0%hospital_emergency_services0%hospital_rating0%oig_exclusion_type0%oig_exclusion_date0%oig_exclusion_category0%oig_exclusion_specialty0%oig_reinstatement_date0%oig_waiver_date0%oig_address0%oig_city0%oig_state0%secondary_practice_locations_n100%secondary_address1%secondary_city1%secondary_state1%secondary_zip1%secondary_phone1%secondary_phone_ext0%secondary_fax0%additional_names_121%additional_name_count100%endpoint_affiliation0%county_fips99%state_fips99%cbsa_code97%cbsa_type97%zip_land_sqmi99%

The percentage is how much of the file carries that field, measured on the delivered CSV rather than estimated. 75 of 123 fields are populated on under half the rows (credential, license_number, medicare_specialty, medicare_secondary_specialties, group_practice, group_size, …). Every row always carries the identifiers and the full address.

≡Sample Data Preview

practices-health-maintenance-organization_locations_us.csv — 5 of 4,302 rows, 59 of 123 columns · scroll →UTF-8
npinameentity_typespecialtyaddresscitystatezipphonecountycbsa_titlelatitudelongitudeorganization_namelicense_numberlicense_statefacility_affiliationsoig_excludednpis_at_addressother_organization_nameadditional_namesprimary_taxonomy_codeprovider_groupingclassificationall_taxonomy_codestaxonomy_countzip_plus4countryfaxendpoint_countmailing_addressmailing_citymailing_statemailing_zipmailing_countryorganization_subpartauthorized_officialauthorized_official_firstauthorized_official_middleauthorized_official_lastauthorized_official_titleauthorized_official_credentialauthorized_official_phoneother_identifiersother_identifier_typesother_identifier_issuerssecondary_practice_locationsenumeration_datelast_update_datecertification_dateeinsecondary_practice_locations_nadditional_names_1additional_name_countcounty_fipsstate_fipscbsa_codecbsa_typezip_land_sqmi
1235125840MKRP INDUSTRIES INCORPORATIONOrganizationHealth Maintenance Organization2451 E BASELINE RD, SUITE 130GILBERTAZ852344805072213Maricopa CountyPhoenix-Mesa-Chandler, AZ33.365502-111.73966MKRP INDUSTRIES INCORPORATION33546AZ0N1<UNAVAIL>CANYON FAMILY PHYSICIANS302R00000XManaged Care OrganizationsHealth Maintenance Organization302R00000X185234-2471US480507067702451 E BASELINE RD, SUITE 130GILBERTAZ85234USNDENNIS PICKERINGDENNISPICKERINGOWNER60288975502Z2444|91656201|05HEALTH NET009/20/200508/11/2008<UNAVAIL>0CANYON FAMILY PHYSICIANS1040130438060Metropolitan Statistical Area11.943
1467449058GASKINS-GUION IN-HOME AIDE SERVICESOrganizationHealth Maintenance Organization705 DRY MONIA RDNEW BERNNC285622526334925Craven CountyNew Bern, NC35.080979-77.125033GASKINS-GUION IN-HOME AIDE SERVICES0N1<UNAVAIL>Gaskins-Guion In-Home Aide Services302R00000XManaged Care OrganizationsHealth Maintenance Organization302R00000X128562-9756US0705 DRY MONIA RD, POB 12745NEW BERNNC28562USNCONSTANCE ELNORA GASKINS-GUIONCONSTANCEELNORAGASKINS-GUIONDIRECTOROWNER2526334925009/29/200508/22/2020<UNAVAIL>0Gaskins-Guion In-Home Aide Services1370493735100Micropolitan Statistical Area151.689
1144861980UR HEALTH PARTNERS LLCOrganizationHealth Maintenance Organization9495 SW 72ND ST STE B180MIAMIFL331733052745319Miami-Dade CountyMiami-Fort Lauderdale-West Palm Beach, FL25.70232-80.357503UR HEALTH PARTNERS LLC0N7302R00000XManaged Care OrganizationsHealth Maintenance Organization302R00000X133173-5424US305274532009495 SW 72ND ST STE B180MIAMIFL33173USNJORGE LUIS VEGA MORALESJORGELUISVEGA MORALESCEO AND MGR3052745319010/02/201901/06/202501/06/2025<UNAVAIL>00120861233100Metropolitan Statistical Area5.475
1528609138PMCA LLCOrganizationHealth Maintenance Organization2962 AVENUE X STE 1BBROOKLYNNY112357187175421Kings CountyNew York-Newark-Jersey City, NY-NJ40.58422-73.943167PMCA LLC0N1302R00000XManaged Care OrganizationsHealth Maintenance Organization302R00000X111235-1808US718554778802962 AVENUE X STE 1BBROOKLYNNY11235USNOLEG KRAYETSOLEGKRAYETSVP7187175421010/04/201910/04/2019<UNAVAIL>00360473635620Metropolitan Statistical Area2.457
1538701560COAST MEDICAL PROFESSIONALS ALLIANCE, IPAOrganizationHealth Maintenance Organization2621 S BRISTOL ST STE 306SANTA ANACA927047147541684Orange CountyLos Angeles-Long Beach-Anaheim, CA33.721131-117.90511COAST MEDICAL PROFESSIONALS ALLIANCE, IPA0N1<UNAVAIL>Apex Medical Professionals Alliance302R00000XManaged Care OrganizationsHealth Maintenance Organization302R00000X192704-5765US02621 S BRISTOL ST STE 306SANTA ANACA92704USNANIL V SHAHANILVSHAHCEOMD7147541684010/10/201910/11/2019<UNAVAIL>0Apex Medical Professionals Alliance1060590631080Metropolitan Statistical Area7.407
Showing 5 real rows from 4,302 total, all 59 columns that carry data in them. 64 further columns are empty across these five rows — the field list above gives each one's fill rate across the whole file.

US Health Maintenance Organization Practices

4,302 locations · CSV · Updated Monthly

Buy Dataset — $49

?Frequently Asked Questions

Where does this data come from?

The CMS National Plan and Provider Enumeration System — the federal NPI registry — plus the NUCC provider taxonomy and the CMS Care Compare clinician file. All three are published by the government and free to download; what you are buying is the parsing, the taxonomy decode, the deactivation cleanup and the cut. Every vendor selling an NPI-based list is working from the same files.

Are these businesses or individual people?

Organizations only — practices, clinics, agencies and facilities at their business address. Individual providers are sold separately so the two are never mixed.

One address sometimes has several NPIs. Does that inflate the count?

It can, and the file tells you: npis_at_address counts how many NPIs share each practice address. NPPES enumerates billing entities rather than premises, so a practice may carry one NPI per owning PLLC. Filter on that column to get sites.

Is this the same data Definitive Healthcare or IQVIA sell?

The registry underneath is the same public CMS file. What those vendors add on top is their own layer — hospital affiliations they research, executive contacts, claims-derived volumes, purchasing intent. If you need that, buy them. If you need the registry itself as a file you own, this is it, at a fraction of a subscription.

Does this include email addresses?

No, and no honest NPI-based product does — NPPES has no email field. What it does have is the Direct secure-messaging address that some providers register for clinical data exchange, and those ship in their own column, labelled, because they are not marketing addresses. Any vendor selling you a 'physician email list' built on NPI data appended those emails from somewhere else.

How current is it?

CMS republishes the full file monthly and a delta weekly. These datasets are rebuilt from the monthly file, and 351,911 deactivated NPIs are removed each time rather than left in as empty rows.

What format is the download?

A single UTF-8 CSV with a header row, one row per NPI, ready for Excel, a CRM import or a database load. Commercial licence, one-off purchase, no subscription.

↔Related Datasets

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4,302 locations
Buy Dataset — $49