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A flag to indicate the provider’s location information specified in the unique combination of location variables was active in the given month. Each of 12 months.
A flag to indicate the provider’s location information specified in the unique combination of location variables was active in the given month. Each of 12 months.
A code to uniquely identify the geographic location where the provider’s services were performed.
Assigns the provider location identification numbers that identify the geographic locations where the provider performs services.
This variable compares the SUBMTG_STATE_CD to the PRVDR_STATE_CD when the SRVC_LCTN_IND is set to 1 (indicating it is a provider service location). This flag indicates when the two state codes are different.
The date on which the provider applied for enrollment into the State’s Medicaid and/or CHIP program.
Process by which a provider was enrolled in Medicaid or CHIP
The middle initial of the provider when the provider is a person.
The count of unique NPIs assigned to the provider.
The National Provider ID (NPI) assigned to the provider.
The National Provider ID (NPI) assigned to the provider.
This variable is the provider identification number of the institutional provider certified by Medicare to provide services to the beneficiary. This is the CMS Certification Number (CCN).
The first two digits indicate the state where the provider is located. As two-digit state codes have been exhausted, CMS has implemented a two-position alpha-numeric coding system for State Codes (reference the NOTE in the VALUES below). The middle two characters indicate the type of provider; and the last two digits are used as a counter for the number of providers within that state and type of provider (i.e., this is a unique but not necessarily sequential number).
A data element to capture the identification number used to distinguish providers from one another on claims and other interactions between providers and other entities.
A flag to indicate the provider’s identifiers information specified in the unique combination of identifier variables (PRVDR_NUM_SYS, PRVDR_NUM, PRVDR_NUM_ISSG_ENT_ID) was active in the given month. Each of 12 months.
A flag to indicate the provider’s identifiers information specified in the unique combination of identifier variables (PRVDR_NUM_SYS, PRVDR_NUM, PRVDR_NUM_ISSG_ENT_ID) was active in the given month. Each of 12 months.
A flag to indicate the provider’s identifiers information specified in the unique combination of identifier variables (PRVDR_NUM_SYS, PRVDR_NUM, PRVDR_NUM_ISSG_ENT_ID) was active in the given month. Each of 12 months.
A flag to indicate the provider’s identifiers information specified in the unique combination of identifier variables (PRVDR_NUM_SYS, PRVDR_NUM, PRVDR_NUM_ISSG_ENT_ID) was active in the given month. Each of 12 months.
A flag to indicate the provider’s identifiers information specified in the unique combination of identifier variables (PRVDR_NUM_SYS, PRVDR_NUM, PRVDR_NUM_ISSG_ENT_ID) was active in the given month. Each of 12 months.
A flag to indicate the provider’s identifiers information specified in the unique combination of identifier variables (PRVDR_NUM_SYS, PRVDR_NUM, PRVDR_NUM_ISSG_ENT_ID) was active in the given month. Each of 12 months.
A flag to indicate the provider’s identifiers information specified in the unique combination of identifier variables (PRVDR_NUM_SYS, PRVDR_NUM, PRVDR_NUM_ISSG_ENT_ID) was active in the given month. Each of 12 months.
A flag to indicate the provider’s identifiers information specified in the unique combination of identifier variables (PRVDR_NUM_SYS, PRVDR_NUM, PRVDR_NUM_ISSG_ENT_ID) was active in the given month. Each of 12 months.
A flag to indicate the provider’s identifiers information specified in the unique combination of identifier variables (PRVDR_NUM_SYS, PRVDR_NUM, PRVDR_NUM_ISSG_ENT_ID) was active in the given month. Each of 12 months.
A flag to indicate the provider’s identifiers information specified in the unique combination of identifier variables (PRVDR_NUM_SYS, PRVDR_NUM, PRVDR_NUM_ISSG_ENT_ID) was active in the given month. Each of 12 months.
A flag to indicate the provider’s identifiers information specified in the unique combination of identifier variables (PRVDR_NUM_SYS, PRVDR_NUM, PRVDR_NUM_ISSG_ENT_ID) was active in the given month. Each of 12 months.
A flag to indicate the provider’s identifiers information specified in the unique combination of identifier variables (PRVDR_NUM_SYS, PRVDR_NUM, PRVDR_NUM_ISSG_ENT_ID) was active in the given month. Each of 12 months.
A code to identify the entity which issued the provider identification number that is captured in the PRVDR_NUM data element.
The code identifying the special numbering system for units of hospitals that are excluded from the prospective payment system (PPS) or hospitals with skilled nursing facility (SNF) swing-bed designation.
A code to identify the kind of provider identifier that is captured in the PRVDR_NUM data element.
The name of the provider when the provider is an organization; most recent in the calendar year.
A code indicating if the provider’s organization is a teaching facility; ever in the calendar year.
Groups OWNRSHP_CD into aggregated categories; most recent in the calendar year.
A code denoting the ownership interest and/or managing control information; most recent in the calendar year.
Specifies whether the Provider is a Participating or Preferred Provider.
A code denoting the profit status of the provider; most recent in the calendar year.
Sex of the provider, either biological sex or their self-identified sex. Applicable to individual providers only.
CMS specialty code associated with the NPI as recorded in PECOS. A specialty code was not found for a small number of NPIs, in which case the SPEC field is blank.
Date the provider began its association with a specific Entity.
The state in which the hospital facility is located.
The ANSI numeric state code for the provider’s billing, practice or service location.
The state plan with which a provider has an affiliation and is able to provide services to the state’s fee for service enrollees.
The first address line when the provider address type represents the provider’s billing, practice or service location.
The second address line when the provider address type represents the provider’s billing, practice or service location.
The third address line when the provider address type represents the provider’s billing, practice or service location.
The name that the provider entity uses on Internal Revenue Service (IRS) tax filings; most recent in the calendar year.
The federal taxpayer identification number (TIN) that identifies the provider/physician/practice/supplier to whom payment is made for the service.
A NATIONAL HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA)-COMPLIANT CODE THAT DESCRIBES THE PROVIDER SPECIALTY OR INSTITUTION TYPE OF THE INSTITUTION BILLING/CARING FOR THE BENEFICIARY.
Indicate whether the route(s) of transmission of the current reconciled medication list to the subsequent provider was an electronic health record.
Indicate whether the route(s) of transmission of the current reconciled medication list to the subsequent provider was an electronic health information exchange.
Indicate whether the route(s) of transmission of the current reconciled medication list to the subsequent provider was an alternate method.
Indicate whether the route(s) of transmission of the current reconciled medication list to the subsequent provider was paper based.