Release Notes:
Data Element
Version 2018B1
| Name: | National Provider Identifier |
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| Collected For: |
HBIPS, Transmission, Optional for All Records |
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| Definition: | All Health Insurance Portability and Accountability Act of 1996 (HIPAA) covered healthcare providers must obtain a National Provider Identifier (NPI). The NPI may be provided in addition to the Medicare provider number. |
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| Question: | What is the NPI for this provider? |
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| Format: |
| Length: | 10 |
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| Type: | Character |
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| Occurs: | 1 |
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| Allowable Values: |
Any valid 10 digit NPI number.
The 10th digit is a numeric check digit based off the first 9 digits.
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| Notes for Abstraction: | None |
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| Suggested Data Sources: |
UB-04, Field Location: 56 |
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion |
Exclusion |
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None
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None |
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