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Credentialing Services
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AMA Meets Standards

The AMA has verified with the primary sources each of the credentials elements listed in the following tables.

AMA Credentialing Products and Services Measured Against Regulatory and Accreditation Standards
Revised June 2022

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AMA PHYSICIAN PROFILE (MD and DO)

 

Hospital Setting

Managed Care

AAAHC

Credentials Element

Source

CMS

TJC*

HFAP

DNV

CMS

NCQA

Licensure: Current

State licensing board

(1)

(1)

Licensure: Historical

State licensing board

+

+

+

+

+

+

US education

AAMC and osteopathic schools

ACGME-accredited training

ACGME-accredited programs

ABMS board certification

ABMS

+

+

+

NPI number

CMS NPPES

+

+

+

+

+

+

+

DEA registration

DEA

+

+

Sanction alerts‡

Licensure: Current

State licensing board

+

(1)

(1)

+

Licensure: Historical

State licensing board

+

+

+

(1)

(1)

+

Medicare/Medicaid

OIG

+

+

+

+

DEA

DEA

+

+

+

+

+

+

+

US Air Force, Army, Navy, DOD, and VA: Historical

Respective military branch/agency

+

+

+

+

+

+

+

ECFMG identification number

ECFMG

AMA provides the number only.
Contact ECFMG directly for verification.

 

CONTINUOUS MONITORING SERVICE OF PHYSICIAN PROFILES

 

Hospital Setting

Managed Care

AAAHC

Sections Monitored on an Ongoing Basis

Update Notification Trigger

CMS

TJC*

HFAP

DNV

CMS

NCQA

Sanction alerts

Licensure: Current and historical

Alert from state licensing board

+

+

+

+

(1)

(1)

+

Medicare/Medicaid

Alert from OIG

+

+

+

+

+

DEA

Alert from DEA

+

+

+

+

+

+

+

Licensure

Changes in:

  • License number
  • MD/DO
  • Locale
  • Date granted
  • Expiration date
  • Status
  • License type

+

+

+

NPI number

Changes in:

  • NPI number
  • Replacement number

+

+

+

+

+

+

+

DEA registration

Changes in:

  • DEA number
  • Business activity
  • Drug schedule
  • Activity
  • Expiration date

+

+

+

+

+

+

ABMS board certification

Changes in:

  • Certifying board
  • Certificate
  • Certificate type
  • Duration
  • Effective date
  • Expiration date

+

+

+

+

+

+

+

ACGME-accredited training

Changes in:

  • Sponsoring institution
  • Specialty
  • Dates

+

+

+

+

+

+

+

US education

Changes in:

  • School name
  • Degree awarded
  • Degree year

+

+

+

+

+

+

+

Information current as of June 21, 2022. ©2022 American Medical Association. All rights reserved.

Download an important file containing acceptance of AMA Physician Masterfile data from TJC, NCQA, and AAAHC as well as an ABMS statement on AMA as an official display agent.

 

Symbols/indicators
✓ = meets standards
+ = exceeds standards through higher level of compliance or industry leading practice
(1) NCQA and CMS for Medicare Advantage require primary source verification of license directly with the licensing board and license sanctions directly with the licensing board or other recognized source.

Notes
* The Joint Commission accreditation standards deem the AMA Physician Masterfile, which populates AMA Physician Profiles, as a designated equivalent source for physician medical school, postgraduate medical training, and (due to its official ABMS display agent status) ABMS board certification. All other primary-source-reported information on the AMA Physician Profile meets and exceeds TJC principles for a credentials verification organization. See the AMA response to TJC CVO requirements.
† HFAP requires primary source verification of licensure but additionally requires a query of the National Practitioner Data Bank and of the Federation of State Medical Boards or the Fraud and Abuse Control Information System.
‡ Sanction Alerts: AMA provides notification only of sanctions in the profile’s “Action Notifications” section. Contact the primary source directly for sanction details.

Acronyms
AAAHC = Accreditation Association for Ambulatory Health Care, Inc.
AAMC = Association of American Medical Colleges
ABMS = American Board of Medical Specialties
ACGME = Accreditation Council for Graduate Medical Education
AMA = American Medical Association
CMS for hospital setting = Centers for Medicare & Medicaid Services: Conditions of Participation for Hospitals
CMS for managed care setting = Centers for Medicare and Medicaid Services: Medicare Advantage
DEA = Drug Enforcement Administration
DNV = DNV Healthcare
DOD = Department of Defense
ECFMG = Educational Commission for Foreign Medical Graduates
HFAP = Healthcare Facilities Accreditation Program
NCQA = National Committee for Quality Assurance
NPPES = National Plan and Provider Enumeration System
OIG = Office of Inspector General
TJC = The Joint Commission
VA = Veterans Administration

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