Rendering Provider NPI Number - Line Level

PRVDR_RNDRNG_PRVDR_NPI_NUM

A number identifying the National Provider Identifier (NPI) of the provider who rendered the service, as sourced from the National Plan and Provider Enumeration System (NPPES). Note: This column is populated if the rendering provider NPI on the claim, as provided by the source system, can be found in the Integrated Deposit Repository (IDR) provider data as sourced from NPPES.

Field Metadata

FHIR Resource: ExplanationOfBenefit
FHIRPath: ExplanationOfBenefit.careTeam.where( role.coding.where(code = 'rendering').exists() ).provider.identifier.value
Coverage / Claim Type: Carrier
Source View: V2_MDCR_CLM_LINE
Source Column: PRVDR_RNDRNG_PRVDR_NPI_NUM
Sources: MCS
NCH
Profiles: Basis
Regular
CMS

Example

1942945159

Notes

This can be either the same or different as the other rendering provider fields. An alternative way to connect the nodes is to refer to the relevant careTeam sequence and then get the Provider's NPI from there.

Mappings

CCLF

CCLF5.RNDRG_PRVDR_NPI_NUM
CCLF5.CLM_RNDRG_PRVDR_NPI_NUM

CCW

CARR_LINE_PRFRMG_NPI_NUM
RNDRNG_PHYSN_NPI
PRF_PHYSN_NPI