AMA header
AMA Physician Profiles back button


  ACCREDITING BODY STANDARDS
more information

AMA Credentialing Products and Services Measured Against Regulatory and Accreditation Standards

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

AMA PHYSICIAN PROFILE
  Hospital Setting Managed Care AAAHC
Credentials Element Source CMS TJC HFAP DNV GL CMS NCQA
Licensure: Current State licensing board (1) (2) (3) (3)
Licensure: Historical State licensing board + + (1) (2) + + + +
US education: MD/DO AAMC
US post-graduate training: MD/DO ACGME-accredited programs
ABMS board certification ABMS + + +
NPI number CMS NPPES + + (1) + + + + +
DEA registration number DEA + + (1) + + +
SANCTION ALERTS* Licensure: Current State licensing board + (1) (2) (3) (3) +
Licensure: Historical State licensing board + + (1) (2) + (3) (3) +
Medicare/Medicaid OIG + + (1) + +
ECFMG applicant number ECFMG      AMA provides the number only.
Contact ECFMG directly for verification.

CONTINUOUS MONITORING SERVICE
  Hospital Setting Managed Care AAAHC
Element Receiving Ongoing Monitoring Source CMS TJC HFAP DNV GL CMS NCQA
SANCTION ALERTS* Medicare/Medicaid OIG + + (1) + + +
Licensure: Current & historical State licensing board + + (1) + + (3) (3) +
License expiration State licensing board + +
NPI number CMS NPPES + + + + + + +
DEA registration number DEA + + + + +
ABMS board certification ABMS + + + + + +
US post-graduate training: MD/DO ACGME-accredited programs + + + + + + +
US education: MD/DO AAMC + + + + + + +
Information current as of Sept. 20, 2019.

Symbols
✓ = meets standards
+ = exceeds standards through higher level of compliance or industry leading practice

Table Footnotes
* Sanction Alerts: AMA provides notification only of sanctions in the profile’s “Action Notifications” section. Contact the primary source directly for sanction details.
(1) Per The Joint Commission’s 10 credentials verification organization guidelines
(2) 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.
(3) 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.

Acronyms
AAAHC = Accreditation Association for Ambulatory Health Care, Inc.
AAMC = Association of American Medical Colleges
ABMS = American Board of Medical Specialties
AMA = American Medical Association
AOA = American Osteopathic 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
DEA = Drug Enforcement Administration
DNV GL = DNV GL Healthcare
ECFMG = Educational Commission for Foreign Medical Graduates
HFAP = Healthcare Facilities Accreditation Program
NCQA = National Committee for Quality Assurance
OIG = Office of Inspector General

Copyright 1995–2019 American Medical Association. All right reserved. | Terms of Use | Privacy Policy | Code of Conduct | Return to Home