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Key Takeaways

  • Registration of doctors in India is governed primarily by the National Medical Commission Act, 2019 and the Registration of Medical Practitioners and Licence to Practice Medicine Regulations, 2023.
  • A medical qualification alone does not automatically give an unrestricted right to practise medicine. The applicable registration and licensing requirements must also be satisfied.
  • State Medical Councils continue to play an important role in registering medical practitioners, while the Ethics and Medical Registration Board (EMRB) maintains the national registration framework.
  • The National Medical Register (NMR) is intended to create a central record of registered medical practitioners across India.
  • Indian medical graduates, foreign medical graduates and visiting foreign medical practitioners are subject to different registration requirements.
  • Provisional registration may apply in situations where a medical graduate has to complete the required internship before obtaining full registration.
  • The NMC has considered amendments to the registration framework in 2026. Draft proposals should be distinguished from provisions that have formally come into force.

What Is Registration of Doctors in India?

Registration of doctors in India is the legal process through which a qualified medical practitioner is formally recognised by the medical regulatory system and becomes eligible to practise medicine in accordance with applicable law.

Medical registration serves an important public function. It helps ensure that persons practising modern medicine possess recognised medical qualifications, satisfy prescribed training and examination requirements and come within the disciplinary jurisdiction of medical regulatory authorities.

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The present framework is principally based on the National Medical Commission Act, 2019 and the Registration of Medical Practitioners and Licence to Practice Medicine Regulations, 2023. The National Medical Commission, commonly known as the NMC, replaced the earlier Medical Council of India framework and now functions as the central regulator for medical education and professional regulation within its statutory mandate.

Registration must therefore be understood separately from obtaining a medical degree. A person may possess a medical qualification, but the lawful right to practise independently depends on compliance with the relevant registration and licensing provisions.

The importance of registration also extends to the everyday duties of a medical professional or doctor. A registered medical practitioner is subject to professional obligations concerning treatment, records, prescriptions, certification and professional conduct.

What Laws Govern Registration of Doctors in India?

The most important legal provisions governing medical registration are contained in the following framework:

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National Medical Commission Act, 2019

The National Medical Commission Act, 2019 established the present regulatory structure for medical education and medical practitioners in India.

Among other matters, the Act provides for the maintenance of a National Medical Register and establishes the Ethics and Medical Registration Board as one of the autonomous boards functioning under the National Medical Commission.

The Act is significant not merely for maintaining records of practitioners. Registration under the NMC framework also has wider legal consequences. For example, the status of a registered medical practitioner may become relevant when determining the application of special statutory provisions relating to medical professionals, including those concerning criminal medical negligence under Section 106 of the Bharatiya Nyaya Sanhita.

Registration of Medical Practitioners and Licence to Practice Medicine Regulations, 2023

The NMC notified the Registration of Medical Practitioners and Licence to Practice Medicine Regulations, 2023 on 10 May 2023. The regulations came into force upon publication in the Official Gazette and contain detailed provisions concerning medical registration and licensing.

The regulations deal with matters such as:

  • Registration of medical practitioners: They establish the framework through which eligible medical practitioners are entered into the registration system and recognised for medical practice.
  • Provisional registration: They provide for registration required during the stage when prescribed internship or training requirements are being completed.
  • Registration of foreign medical graduates: They deal with persons who have obtained their primary medical qualifications outside India and seek registration to practise in India.
  • Temporary registration of foreign medical practitioners: They provide a limited mechanism for eligible foreign doctors coming to India for specified medical, academic or related purposes.
  • Entry of additional qualifications: Recognised postgraduate and other additional medical qualifications may be incorporated into registration records.
  • Maintenance of registration details: The framework aims to maintain updated and verifiable information regarding registered medical practitioners.

These regulations form the central regulatory instrument for understanding the registration process under the NMC framework.

Who Regulates Registration of Doctors in India?

The medical registration system operates through both national and State-level regulatory bodies.

National Medical Commission

The National Medical Commission is the central statutory authority responsible for regulating medical education and several aspects of professional medical practice.

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Within the NMC framework, registration-related responsibilities are principally handled through the Ethics and Medical Registration Board.

Ethics and Medical Registration Board

The Ethics and Medical Registration Board, commonly known as the EMRB, is responsible for important functions connected with registration, ethics and professional conduct.

Its registration-related role includes maintenance of the National Medical Register and coordination with State Medical Councils.

The EMRB therefore provides the national regulatory layer of the registration system.

It also has an important role in the wider disciplinary structure applicable to medical practitioners. Questions relating to unethical conduct or professional misconduct may eventually enter the regulatory process through State Medical Councils and the NMC framework.

State Medical Councils

State Medical Councils continue to perform a crucial role in registering medical practitioners within their respective jurisdictions.

A doctor ordinarily interacts with the relevant State Medical Council for registration, while information relating to registered practitioners is integrated into the national regulatory framework.

This creates a two-level system consisting of:

State-level registration and regulation + national-level registration records and oversight.

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State Medical Councils are also important authorities in matters involving allegations of professional or ethical misconduct. Depending on the nature of the complaint, proceedings before a Medical Council may exist alongside civil, consumer or criminal remedies.

What Is the National Medical Register?

The National Medical Register or NMR is the national database contemplated under the National Medical Commission Act for registered medical practitioners.

The register is maintained through the Ethics and Medical Registration Board.

The 2023 Registration Regulations contemplate a National Medical Register containing information relating to registered medical practitioners, including relevant registration and qualification details.

The NMR is intended to make the medical registration system more uniform and transparent across India.

Information associated with a registered practitioner may include details such as:

  • Name of the medical practitioner: The register identifies the person whose registration has been recognised.
  • Registration details: These may include the relevant registration number and the date or year connected with registration.
  • Medical qualifications: Recognised primary medical qualifications may form part of the practitioner’s registration information.
  • Additional qualifications: Recognised postgraduate, super-speciality or other additional qualifications may also be recorded.
  • Speciality details: Where applicable, information relating to a recognised speciality may form part of the registration record.
  • Professional details: Relevant details concerning the practitioner’s place of work or practice may also be included in accordance with the applicable framework.

The establishment of a national register is important because doctors may obtain registration through different State Medical Councils. A central system helps create a common national record.

What Is the Difference Between the Indian Medical Register and National Medical Register?

The Indian Medical Register originated under the earlier Indian Medical Council Act, 1956.

The 2023 Regulations define the Indian Medical Register as the medical register maintained by the EMRB before the National Medical Register becomes operational under the new statutory structure.

The National Medical Register is therefore part of the newer NMC framework created under the National Medical Commission Act, 2019.

In practical terms, the regulatory system is moving from the earlier Indian Medical Register structure towards the National Medical Register envisioned under the NMC Act.

Who Is Eligible for Registration as a Doctor in India?

Eligibility depends on the type of medical qualification and the manner in which it has been obtained.

Broadly, the registration framework distinguishes between:

  • persons possessing recognised Indian medical qualifications;
  • foreign medical graduates who are Indian citizens;
  • foreign medical practitioners visiting India for limited purposes; and
  • practitioners seeking registration of additional qualifications.

A recognised medical qualification is a fundamental requirement, but other statutory conditions may also apply.

These may include completion of the prescribed internship, qualifying the applicable examination and satisfying requirements laid down under NMC regulations.

The requirement of proper qualification and registration also has a connection with professional accountability. Misrepresentation of professional qualifications or practising outside legally recognised credentials may give rise to regulatory concerns and may form a ground for proceedings against a medical professional.

How Can an Indian Medical Graduate Get Registered?

An Indian medical graduate generally has to satisfy the requirements applicable to a recognised primary medical qualification.

The usual pathway includes:

  1. completion of the recognised MBBS course;
  2. completion of the prescribed compulsory rotating medical internship;
  3. satisfaction of the examination requirements applicable under the regulatory framework; and
  4. registration with the appropriate medical authority.

The precise process depends on the operative NMC rules and transitional arrangements.

The 2023 Registration Regulations refer to the National Exit Test framework. However, implementation of NExT and registration provisions must be read together with subsequent NMC notifications and transitional measures.

It would consequently be incorrect to assume that every provision referring to NExT is automatically operational in exactly the form originally contemplated by the regulations.

What Is Provisional Registration?

Provisional registration is a temporary form of registration granted in situations where a medical graduate needs registration for completing the required practical training or internship before becoming eligible for full registration.

It is particularly relevant during the transition from academic qualification to independent medical practice.

A medical graduate undergoing compulsory internship may be permitted to work under the applicable provisional registration framework.

Provisional registration should not be treated as equivalent to unrestricted permanent registration. Its purpose is generally linked to supervised training and completion of statutory requirements.

What Is Permanent or Full Registration?

Full registration allows a qualified medical practitioner to practise medicine in accordance with the applicable statutory and regulatory conditions.

It ordinarily follows completion of all requirements, including the recognised medical qualification, internship and relevant examination or registration formalities.

The legal significance of full registration lies in the fact that independent medical practice must be supported by valid registration under the applicable regulatory framework.

Once registered, the practitioner also assumes continuing professional obligations. Registration therefore operates not merely as permission to enter the profession but also as the basis on which professional standards and disciplinary rules can be enforced.

How Are Foreign Medical Graduates Registered in India?

Foreign medical graduates are subject to additional requirements because their primary medical qualification has been obtained outside India.

The 2023 Registration Regulations define a foreign medical graduate as an Indian citizen who has obtained a recognised primary medical qualification from an overseas university or institution and does not possess an undergraduate medical qualification from an Indian institution.

Registration of foreign medical graduates must be read together with the Foreign Medical Graduate Regulations, 2021 and applicable screening or examination requirements.

A foreign medical degree by itself does not automatically create a right to practise medicine in India.

Depending on the applicable regulatory framework, requirements may include:

  • Eligible foreign medical qualification: The medical qualification obtained abroad must satisfy the conditions prescribed by the applicable regulatory framework.
  • Compliance with FMG requirements: The candidate must satisfy the requirements applicable under the Foreign Medical Graduate Regulations.
  • Prescribed examination: The relevant screening, licensing or other prescribed examination requirement must be fulfilled.
  • Internship or clinical training: Required internship or practical clinical training must be completed in accordance with the applicable rules.
  • Registration: After fulfilling the applicable conditions, registration with the competent medical authority is necessary before independent practice.

The foreign medical graduate framework is therefore more detailed than the ordinary registration process for Indian medical graduates.

Can a Foreign Doctor Practise Temporarily in India?

Yes, but only within the prescribed regulatory framework.

The 2023 Regulations provide for temporary registration of foreign medical practitioners in certain circumstances.

A foreign citizen who is lawfully registered as a medical practitioner in another country and is appropriately sponsored in India may be considered for temporary registration for approved purposes.

Temporary registration may be relevant in circumstances such as specialised medical services, academic activities, training, demonstrations or other permitted professional engagements.

Such registration is limited in nature and does not amount to general permanent registration to practise medicine throughout India.

What Is a Unique Identification Number for Doctors?

The 2023 registration framework contemplates the use of a Unique Identification Number or UID for registered medical practitioners.

The purpose of a UID is to create a unique national identity for each registered doctor within the National Medical Register system.

This can improve consistency because a doctor may otherwise have registration-related details associated with different State authorities.

A central UID can help link registration status, qualifications and professional records within the national system.

Can Additional Medical Qualifications Be Registered?

Yes. Recognised additional medical qualifications may be entered in the relevant medical registration records.

These may include recognised postgraduate or super-speciality qualifications obtained after the primary medical degree.

Registration of additional qualifications is particularly important where a practitioner describes himself or herself as possessing a particular speciality qualification.

The qualification must be one recognised within the applicable regulatory framework.

Misrepresentation of qualifications may also raise issues of professional misconduct. This makes accurate recording and representation of medical qualifications important not merely from an administrative perspective but also from the perspective of professional regulation.

Why Is Medical Registration Important?

Medical registration is important for both professional regulation and patient protection.

Verification of Qualifications

Registration provides an official mechanism for confirming whether a medical practitioner possesses recognised qualifications and satisfies registration requirements.

It helps distinguish a duly qualified and registered practitioner from a person who does not possess the legal credentials required for medical practice.

Professional Accountability

Registered practitioners come within the regulatory and disciplinary framework of medical councils and the NMC.

Complaints involving professional misconduct may therefore be examined by the competent medical regulatory authority.

Professional disciplinary proceedings are distinct from claims based on medical negligence. Negligence generally concerns failure to exercise the legally required standard of medical care, while professional misconduct proceedings primarily concern compliance with professional and ethical obligations.

Public Transparency

A registration system allows patients, hospitals and authorities to verify whether a person claiming to practise medicine is registered.

This becomes particularly important where questions arise regarding a practitioner’s identity, qualification or authority to practise.

Uniform Regulation

A national registration structure reduces fragmentation between States and helps create consistent records of medical practitioners across the country.

Can a Person Practise Medicine Without Registration?

A recognised medical qualification and valid registration perform different legal functions.

Possession of a medical degree demonstrates academic qualification. Registration provides regulatory recognition and legal authority to practise subject to applicable law.

Therefore, merely obtaining an MBBS or other medical qualification does not automatically permit unrestricted independent medical practice without fulfilling the registration requirements.

The distinction can have significant legal consequences. For example, Section 106 of the Bharatiya Nyaya Sanhita specifically uses the concept of a registered medical practitioner while dealing with death caused by negligence during a medical procedure. The statutory status of the practitioner can therefore become relevant in determining the applicable criminal provision.

Unauthorised medical practice may also attract consequences under other applicable laws depending upon the facts and the nature of the conduct involved.

How Can Registration of a Doctor Be Verified?

The National Medical Commission provides online registration and medical register search facilities.

Registration records may generally be searched using details such as:

  • name of the doctor;
  • registration number;
  • State Medical Council;
  • qualification; and
  • year of registration.

Verification of registration can be useful for patients, employers, hospitals, medical institutions and regulatory authorities.

The registration number also has practical importance in professional practice. Registered medical practitioners are required to use their registration details in contexts such as prescriptions, medical certificates and other professional documents. These requirements form part of the wider professional duties of doctors in India.

Can a Doctor Registered in One State Practise in Another State?

The emergence of the National Medical Register is intended to create greater national uniformity in medical registration.

However, registration practice must still be understood in light of the applicable State Medical Council framework and NMC regulations.

The 2023 Regulations seek to create a national registration system under which registered practitioners can be identified through a common national framework rather than relying entirely on separate State records.

The exact procedural requirement in a particular situation may depend on the stage of implementation of the National Medical Register and the applicable State Council rules.

What Is the Role of Medical Councils in Disciplinary Proceedings?

Registration also places doctors within a professional disciplinary framework.

State Medical Councils may examine complaints concerning professional misconduct in accordance with applicable law.

The Ethics and Medical Registration Board also performs appellate and regulatory functions within the NMC structure.

Medical registration therefore creates not only a right to practise but also continuing professional accountability.

A disciplinary proceeding before a medical regulatory authority is different from a compensation proceeding arising from negligent treatment. A patient affected by deficient medical services may, depending on the circumstances, have remedies under consumer law. The relationship between treatment-related negligence and consumer remedies is discussed in detail under medical negligence and consumer rights in healthcare.

The Supreme Court’s decision in Indian Medical Association v V.P. Shantha is also important in understanding the application of consumer protection principles to medical services rendered for consideration.

Professional disciplinary proceedings, however, serve a different purpose. Their principal concern is maintaining professional standards rather than merely awarding compensation to an affected patient.

What Is the Current Status of the 2026 Registration Amendments?

The NMC has considered amendments to the 2023 Registration Regulations during 2026.

Amendment proposals concerning the Registration of Medical Practitioners and Licence to Practice Medicine Regulations were circulated during 2026 for stakeholder consideration.

Draft provisions should not be treated as final operative law unless and until they are formally notified and brought into force.

For present legal analysis, the National Medical Commission Act, 2019 and the operative Registration of Medical Practitioners and Licence to Practice Medicine Regulations, 2023 remain the principal legal framework, subject to valid amendments and subsequent notifications.

This distinction is important because regulatory proposals may change before their final notification. A draft regulation indicates a proposed legal change, whereas an operative regulation creates enforceable legal requirements.

Difference Between Medical Qualification, Registration and Licence to Practise

These three concepts are closely related but legally distinct.

Medical Qualification

A medical qualification establishes that a person has completed recognised medical education.

An MBBS degree or other recognised medical qualification therefore concerns educational and professional qualification.

Registration

Registration records the practitioner with the competent regulatory authority after the statutory requirements are satisfied.

It creates an official record that the person has been recognised within the medical regulatory system.

Licence or Legal Authority to Practise

The licence or legal right to practise allows the registered practitioner to provide medical services within the limits of applicable law and professional regulation.

Therefore, the sequence can broadly be understood as:

Recognised medical education → prescribed training and examinations → registration → lawful medical practice.

These stages should not be treated as interchangeable. Completion of medical education is the foundation, while registration and licensing provide the regulatory basis for professional medical practice.

Conclusion

Registration of doctors in India is an essential part of the country’s medical regulatory system. It ensures that persons practising modern medicine possess recognised qualifications, satisfy prescribed training requirements and remain accountable to professional regulatory authorities.

The National Medical Commission Act, 2019 and the Registration of Medical Practitioners and Licence to Practice Medicine Regulations, 2023 form the principal legal framework governing registration. State Medical Councils continue to play an important role, while the Ethics and Medical Registration Board provides national oversight and maintains the national registration structure.

The registration process differs for Indian medical graduates, foreign medical graduates and foreign practitioners seeking temporary permission to practise in India. Provisional registration, full registration, additional qualification registration and temporary registration therefore serve different purposes within the regulatory system.

Registration also connects medical practice with wider professional accountability. A registered practitioner may be subject to disciplinary proceedings for professional misconduct and may separately face civil, consumer or criminal consequences where the requirements of the relevant law are satisfied.

The movement towards a National Medical Register and unique identification system represents an effort to create a more transparent, uniform and verifiable system of medical registration across India. At the same time, proposed amendments and evolving NMC procedures must be distinguished carefully from provisions that are already in force.

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Aishwarya Agrawal
Aishwarya Agrawal

Aishwarya is a gold medalist from Hidayatullah National Law University (2015-2020). She has worked at prestigious organisations, including Shardul Amarchand Mangaldas and the Office of Kapil Sibal.

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