CMS recorded 150 deactivations in the Physicians segment of the NPI registry during the week of Sept. 21-27, 2026. Hipa.ai’s name cache captured 148 names, about 99% of the total; Texas led the state count with 21 records. Two records were scrubbed: CMS provides the deactivation count, while the named subset reflects records whose names Hipa.ai captured before CMS removed identifying details.
Texas Leads State Counts
Texas topped the geographic table, followed by California with 18 deactivations, Florida with 15 and New York with 13. Virginia followed at 7, while Pennsylvania had 5. The four leading states together account for more than two-fifths of the national total, showing that this week’s records were concentrated in several large states rather than evenly distributed.
That concentration describes the location attached to deactivated NPI records, not the distribution of practicing physicians or changes in local clinical capacity. The state rankings also include records for both individuals and organizations. CMS data lists 125 individuals and 23 organizations in the week’s total, so an organization’s deactivation does not necessarily represent a single clinician leaving practice. Texas’s lead is also visible in the city table: Addison had 6 records and Houston had 5, the highest city counts listed.
Primary Care Leads Taxonomy Mix
Among named providers, the most common listed taxonomy was Family Medicine, with 22 records, followed closely by Internal Medicine at 21. Psychiatry ranked next with 15. The leading categories therefore span primary care and behavioral health, while the rest of the top group includes specialties such as Clinical Neurophysiology, Diagnostic Radiology and Pediatrics, each with 6 records.
The taxonomy mix gives a view of the specialties attached to records, not a measure of service availability or the number of clinicians actively seeing patients. Clinical Neurophysiology’s presence among the leading categories is notable alongside the concentration of organization records in that taxonomy in Addison, Texas. But registry entries alone cannot establish whether related practices closed, changed ownership, reorganized or continued under different identifiers.
Administrative Status, Not Exit
An NPI deactivation is an administrative change in CMS’s registry; by itself, it does not establish a license action or that a provider has stopped practicing. Registry maintenance can accompany retirement, practice changes, organizational consolidation or clerical record retirement. Providers may also obtain a new NPI, making multi-NPI re-registration part of the broader churn. This weekly snapshot records status changes, not the circumstances behind any individual record.
