Physician Credentialing Checklist & Standards

State medical license for each state you will serve

DEA registration certificate (if prescribing controlled substances)

Professional liability certificate of insurance

Curriculum vitae

Form W-9

Government photo ID

NPI: automated check against the national registry at application (name, individual type, taxonomy, state), confirmed by the practice

Licensure: primary-source verification with each state medical board, including status and any disciplinary history

Exclusions: screening against federal exclusion and debarment lists

DEA: registration status and schedules, where applicable

Identity: government ID matched to the applicant; identity proofing to the standard required for electronic prescribing of controlled substances when that capability is enabled

Liability coverage: carrier, limits and expiry

The practice approves, declines or requests more information in writing. Approval activates your profile; members can then see and book you. The practice may decline without stating a reason.

Licenses, DEA registration and liability coverage are re-verified before expiry and at least annually.

Exclusion screening is repeated monthly.

You must report any change in standing within two business days.