Service Provider NPI Number

PRVDR_SRVC_PRVDR_NPI_NUM

A number identifying the National Provider Identifier (NPI) of a service 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.contained.where( id = %root.provider.reference.substring(1) ).identifier.where( system = 'http://hl7.org/fhir/sid/us-npi' ).value
Coverage / Claim Type: Pharmacy
Source View: V2_MDCR_CLM
Source Column: PRVDR_SRVC_PRVDR_NPI_NUM
Sources: DDPS
Profiles: Basis
Regular
CMS

Notes

CCLF7.CLM_SRVC_PRVDR_GNRC_ID_NUM can provide NCPDP numbers in .008% of instances (among other rare ID types). These are surfaced as generic ID numbers, and may require a different FHIRPath expression (using system = "http://bluebutton.cms.gov/fhir/identifiers/GenericIdNum").

Mappings

CCW

SRVC_PRVDR_ID