Credentialing Checklist

Last Updated: Dec 19, 2014

In order to participate with Pennsylvania insurers, physicians are required to have hospital admitting privileges. Because the process of hospital credentialing can take many months, physicians should begin gathering the necessary documentation as quickly as possible. 

Helpful Tip: Be sure to set up a meeting with the chairperson of the hospital section/department in which you'll be working. This will help you determine if the hospital requires any additional documents not mentioned on our credentialing checklist.

Here's a checklist of items you generally need to complete the credentialing process and obtain hospital privileges.

  •  All state medical licenses
  • National Provider Identifier (NPI)—This number is often given to a physician during his or her residency.
  • DEA number—If you relocate after residency to another state, you'll have to register your change of address with the US Department of Justice.
  • Certificate of completion of residency and internship
  • Proof of board certification or board eligibility
  • Surgical log or other procedural tracking log (if applicable)
  • Proof of malpractice insurance (copy of policy face sheet with current expiration date and coverage amounts)
  • Medicare and Medicaid numbers
  • Current curriculum vitae that includes start and end dates for all training and employment.

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