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Prescribing Provider NPI Number

PRVDR_PRSCRBNG_PRVDR_NPI_NUM

A NUMBER IDENTIFYING THE NATIONAL PROVIDER IDENTIFIER (NPI) OF A PRESCRIBING 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 = 'prescribing').exists()
).provider.identifier.where(
system = 'http://hl7.org/fhir/sid/us-npi'
).value
Coverage / Claim Type
  • Pharmacy
Source View
V2_MDCR_CLM
Source Column
PRVDR_PRSCRBNG_PRVDR_NPI_NUM
Sources
  • DDPS
Profiles
  • Basis
  • Regular
  • CMS

Example

1942945159

Notes

Not all will populate an NPI. Some will be other types, see CLM_PRSBNG_PRVDR_GNRC_ID_NUM.

Mappings

CCW
  • PRSCRBR_ID
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