Complete a Facility Information Form

Priya Sharma

Modified on: Mon, 13 Jul, 2026 at 3:46 PM

Add the facility details, administrator information, and registry selections required to participate in NRDR.

Create a Facility Information Form for each physical location that will submit data to NRDR.
Enter facility details and designate a Facility Administrator.
Select the registry or registries the facility will participate in.
A unique Facility ID is automatically created when the form is completed.

Before You Begin

The Facility Information Form becomes available after you create a corporate account.

To add a facility:

Tip: Fields marked with an asterisk (*) are required.

Provide basic information about the facility location that will submit data to NRDR.

Information Needed	Examples
Facility Name	Hospital, Imaging Center, Practice
Facility Category	Hospital, Outpatient Center, Other
Location & Trauma Level	Community size and trauma designation
Facility Address	Street, City, State/Province, ZIP/Postal Code
Contact Telephone	Primary facility phone number
Facility NPI (if applicable)	Required for facilities using LCSR for Medicare reporting

Additional Notes

Facility NPI must contain exactly 10 digits if provided.
NMD-Certified Vendor information is required only for NMD participants.
For detailed facility characteristic definitions, refer to the attached Facility Information Form guide.

Each facility must have one designated Facility Administrator.

May be the same individual as the Corporate Account Administrator.
Serves as the primary facility contact.
Receives NRDR-related communications for the facility.
If a different person is assigned, the system sends an invitation to create an NRDR account.

Choose the registry or registries to which the facility will submit data.

Need to add multiple facilities?
Select Add New Facility again to create additional facility records before moving to the next step.

If you need assistance completing the Facility Information Form, please request support.