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Operating Physician NPI

PRVDR_OPRTG_PRVDR_NPI_NUM

A NUMBER IDENTIFYING THE NATIONAL PROVIDER IDENTIFIER (NPI) OF AN OPERATING PROVIDER AS SOURCED FROM THE NPI CROSSWALK REFERENCE INFORMATION PROVIDED BY THE NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM (NPPES).

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath
ExplanationOfBenefit.careTeam.where(
role.coding.where(code = 'otheroperating').exists()
).provider.identifier.value
Coverage / Claim Type
  • HHA
  • Hospice
  • Inpatient
  • Outpatient
  • SNF
Source View
V2_MDCR_CLM
Source Column
PRVDR_OPRTG_PRVDR_NPI_NUM
Sources
  • FISS
  • NCH
Profiles
  • Basis
  • Regular
  • CMS

Example

1942945159

Mappings

CCLF
  • CCLF1.OPRTG_PRVDR_NPI_NUM
  • CCLF1.CLM_OPRTG_PRVDR_NPI_NUM
CCW
  • OP_PHYSN_NPI
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