AMA header

AMA Credentialing ServicesProfiles level 2 image

AMA Physician Profiles

The AMA offers a Physician Profile and a Physician Reappointment Profile. Samples of each are available in the links to the right.

 

Physician Profile vs Physician Reappointment Profile The AMA Physician Profile (“full” or “initial” profile): comprehensive physician information, including education, training, board certifications, state license data and more.

The AMA Physician Reappointment Profile: 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.

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. All AMA Profiles assist in reducing the threat of clinical, legal, and financial liability for practitioners, payers, and health care organizations by helping to identify highly qualified health care professionals to serve the public.


 

Primary source verification requirements
The AMA verifies with the primary source the following elements:

  • Medical school
  • Graduate medical education
  • ABMS® specialty board certification (includes MOC)
  • 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

For a detailed explanation about these core elements and all other elements in an AMA Profile, click the AMA Masterfile Data link at right.

The AMA Physician Masterfile—the source of AMA Physician Profile data—meets select primary source verification requirements of the following organizations:

  • Centers for Medicare and Medicaid Services (CMS)
  • The Joint Commission (TJC)
  • Healthcare Facilities Accreditation Program (HFAP)
  • DNV-GL Healthcare (DNV-GL)
  • Accreditation Association for Ambulatory Health Care (AAAHC)
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 monthly, includes the following:
  • Specialty and subspecialty certification (certification type)
  • Initial year granted (effective date)
  • Expiration dates
  • Reverification dates
  • Duration
  • Status (active or expired)
  • Maintenance of certification
A summary of how data elements within AMA Profiles meet the standards of the accrediting bodies can be found here, including the AMA Masterfile data elements that the National Committee for Quality Assurance (NCQA) has approved as a source for verification.

Access and keep on file more information about the above mentioned organizations by clicking the Important documents link at right.

   
more information
Physician Profile sample AMA Physician Reappointment Profile sample AMA Physician Profiles meet standardsAMA Masterfile Data as used in a profileImportant documents KEEP ON FILE Physician access of profilesFrequently asked questions - Physician profile
Purchase Now

Create Account

green bar