The weekly National Plan and Provider Enumeration System(NPPES) database release have jumped compared to the previous one. NPI database changes in this weekly update have the following details: 3,446 Organization updates, 9,693 individual updates and 130 deactivations. Saint Louis is the new city with the most updates this week followed by Chicago. In the last update, Houston was the leading city. In the last update, Houston was the leading city. California is the leading state this week with 1,370 updates from the 7,063 updates of the top ten States. Florida follows in second place with 1,113 updates.