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UPP
UPP
Universal Provider Passport
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Primary source · 06 of 11
National Practitioner Data Bank

NPDB verification

Malpractice payments, adverse actions, clinical privileges actions.

On query + scheduled re-query Primary source — no aggregator Authority site
Issuing authority: Health Resources & Services Administration (HRSA)

What we verify

Malpractice payment reports
Adverse licensure actions
Clinical privileges actions
Professional society membership actions
DEA and Medicare/Medicaid exclusion reports
Verification rules

How we decide pass / flag / block

  1. 01
    NPDB queries require provider consent on file (signed within 60 days).
  2. 02
    Any report is surfaced verbatim — UPP does not summarize or interpret.
  3. 03
    Self-Query results from the provider are accepted when issued within 90 days.
  4. 04
    Continuous Query enrollment, when active, replaces scheduled re-query.
Example evidence

Example NPDB query response

Stored alongside the credential with source URL, raw payload hash, and timestamp. Names and IDs below are illustrative.

Verified payload (excerpt)
query_type
One-Time + Continuous Query
subject_status
No reports on file
process_date
2026-06-06
dcn
0000123456789
Refresh cadence

On query + scheduled re-query

On packet creation, on any reported event via Continuous Query, and on a 180-day scheduled re-query.

Source-down handling

When the authority is unreachable

If consent has lapsed, the field is marked 'Consent required' and the provider is prompted in their wallet to re-sign.

Previous source
SAM.gov
System for Award Management
Next source
ABMS
American Board of Medical Specialties