AMA Initial and Reappointment Profiles for physicians contain the information needed to help organizations verify a physician's credentials. AMA Profiles assist in reducing the threat of clinical, legal and financial liability for clinicians, payers and health care organizations.
An AMA Physician Initial Profile (PDF) provides comprehensive physician information, including education, training, board certifications, state license data and more. Initial profiles are often used by a health care organization to confirm physician-submitted information when applying for clinical privileges at that organization. It is also used by payers to validate physician information for reimbursement and/or provider enrollment.
The AMA Physician Reappointment Profile (PDF) provides verification of information that is subject to change, including state license(s), board certification(s), and other such data. Unchanging information, like education or ECFMG applicant number is not included.
AMA Profiles for Physician Assistants (PAs) (PDF) are also available.
Primary source verification requirements
The AMA verifies with the primary source these elements:
- Medical school
- Graduate medical education
- ABMS® specialty board certification (includes MOC; see a helpful ABMS explanation on MOC reverification
- All state licensure data (current and historic) and sanctions
- DEA registration
- National Provider Identifier (NPI) number
- Education Commission for Foreign Medical Graduates (ECFMG) applicant number
Download this document (PDF) for a more detailed description of how AMA Physician Professional Data™ is used throughout the AMA Physician Profiles.
The AMA Physician Professional Data—the source of AMA Physician Profile data—meets select primary source verification requirements from these organizations:
- Centers for Medicare and Medicaid Services (CMS)
- The Joint Commission (TJC)
- Accreditation Commission for Healthcare (ACHC)
- DNV Healthcare (DNV)
- Accreditation Association for Ambulatory Health Care (AAAHC)
- URAC
AMA is an official licensee of American Board of Medical Specialties (ABMS®) data. As such, the AMA is designated as an official ABMS display agent and serves as a provider of primary source equivalent ABMS specialty board certification data. That data, which is updated weekly, includes:
- Specialty and subspecialty certification (certification type)
- Initial year granted (effective date)
- Expiration dates
- Reverification dates
- Duration
- Status (active or expired)
- Maintenance of certification
Review the summary (PDF) of how data elements within AMA Profiles meet the standards of the accrediting bodies, including the AMA Physician Professional Data elements that the National Committee for Quality Assurance (NCQA) has approved as a source for verification.
Download the file (PDF) containing acceptance of AMA Physician Professional Data from TJC, NCQA, and AAAHC, as well as an ABMS statement on AMA as an official display agent.
