Specialty practice roll-up target screen

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# Specialty practice roll-up target screen

For one specialty (dermatology, gastroenterology, ophthalmology) in one state. The registry names the group and its authorised official; other sources size and de-risk it.

## 1. Find the groups

1. Search @[NPI Registry · Search](alexandria:npiregistry-cms-hhs-gov/providers/search) with taxonomy_description, state, enumeration_type organization. Keep NPI, legal name, authorised official and address.
2. Count sites per group with @[NPI Registry · Locations](alexandria:npiregistry-cms-hhs-gov/providers/locations). Two to six sites is the usual platform or add-on size.

## 2. Ownership and age

3. Look the legal name up in the state registry, for example @[Florida Sunbiz · Search](alexandria:search-sunbiz-org/entities/search) then @[Florida Sunbiz · Entity](alexandria:search-sunbiz-org/entities/entity), or @[Georgia eCorp · Search businesses](alexandria:ecorp-sos-ga-gov/entities/search_businesses). Note formation date, officers and status; an already-acquired practice often lists an out-of-state manager.

## 3. Patient demand

4. Find each site with @[Maps · Search](alexandria:firecrawl-maps/businesses/search) and read @[Maps · Rating trend](alexandria:firecrawl-maps/businesses/rating_trend) (feature_id). Rising volume of reviews with steady ratings signals growth.

## 4. Red flags

5. Screen the group and authorised official with @[OpenSanctions · Search entities](alexandria:opensanctions-org/sanctions-screening/search_entities), datasets us_sam_exclusions and the state's Medicaid exclusion dataset.

## Write the target list

- **Table:** group, sites, physicians on NPI, formation year, owner or manager, review trend, flags.
- **Tiering:** platform candidates versus add-ons, with reasons.
- **Sources:** NPIs, registry document numbers, map feature ids, OpenSanctions results. Say that revenue is not in these sources and what could not be found.

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