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Rendering Physician NPI - Header 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 FOR CERTAIN TYPES OF CLAIMS WHERE THE SAME RENDERING PROVIDER NPI APPLIES TO ALL LINES OF THE CLAIM, AND 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
  • HHA
  • Inpatient
  • SNF
Source View
V2_MDCR_CLM
Source Column
PRVDR_RNDRNG_PRVDR_NPI_NUM
Sources
  • FISS
  • NCH
Profiles
  • Basis
  • Regular
  • CMS

Example 

1942945159

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