The CMS NPPES public registry recorded the deactivation of 195 physician NPIs during the week of June 22-28, 2026. Of these, Hipa.ai's name cache retained retrievable names for 192 records, while 3 records had their identifying information removed by CMS in accordance with privacy policies for deactivated providers. Geographically, Texas and California led the nation, each accounting for a notable share of the week's deactivations.
Geographic Distribution of Deactivations
An analysis of the deactivated physician NPIs reveals a concentration in several key states. Texas and California each reported 21 deactivations, representing 11% of the national total for the week. Following closely were Oklahoma, Florida, and New York, each with 14 deactivations, or 7% of the total. The data also indicates instances of multiple organizational NPIs being deactivated in specific areas, such as several records for "AHS OKLAHOMA PHYSICIAN GROUP, LLC" across multiple cities in Oklahoma, and "PARKVIEW ANCILLARY SERVICES" in Pueblo, Colorado, contributing to the state totals and suggesting administrative changes or consolidations within larger entities.
Specialty Mix Among Deactivated NPIs
Among the named physician NPIs deactivated this week, primary care and high-volume specialties were prominent. Family Medicine accounted for the largest share with 29 deactivations, representing 15% of the named records. Internal Medicine followed with 23 deactivations, or 12%. Psychiatry saw 18 deactivations, making up 9% of the total. Other notable specialties included Pediatrics with 13 deactivations (7%) and Anesthesiology with 10 deactivations (5%). This mix reflects the broad spectrum of medical practices undergoing administrative status changes within the registry.
Context of NPI Deactivations
NPI deactivations are administrative updates within the federal NPPES registry and do not inherently indicate license actions, malpractice, or that a provider has ceased practice. These status changes can occur for various reasons, including a provider retiring, changing their entity type, obtaining a new NPI, or due to clerical adjustments by CMS as the registry ages. The year-over-year increase in deactivations is a normal part of registry maintenance, reflecting the dynamic nature of the U.S. healthcare workforce.
