NPI To Medicare Crosswalk

$199 / year

The National Provider Indetifier (NPI) became the national standard identifier in May 2007. One limitation of this dataset is that the provider had to include their other provider number on the NPI application in order for the license number to appear here.

Complexity

The Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The NPPES files contain all of the FOIA-disclosable data for active and deactivated providers in NPPES. The source NPPES files have up to 15 provider licenses per NPI. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

Date Created

2014-06-11

Last Modified

2017-04-12

Version

2017-04-12

Update Frequency

Irregular

Temporal Coverage

N/A

Spatial Coverage

United States

Source

John Snow Labs => National Bureau of Economic Research

Source License URL

John Snow Labs Standard License

Source License Requirements

None

Source Citation

None

Keywords

NPI to Medicare Crosswalk, Medicare Crosswalk, Medicare Crosswalk Codes, Medicare Crosswalk for Consultations

Other Titles

National Provider Identifier Crosswalk, NPI Medicare Crosswalk

Name Description Type Constraints
National_Provider_IdentifierNational Provider Identifierintegerrequired : 1 level : Nominal
Other_Provider_Identifier_In_NPPES_FileNumber of Other Provider Identifier in NPPES fileintegerrequired : 1 level : Nominal
Other_Provider_IdentifierOther Provider Identifierstringrequired : 1 maxLength : 23
Other_Provider_Identifier_TypeOther Provider Identifier Type Codeintegerrequired : 1 level : Nominal
Other_Provider_Identifier_StateOther Provider Identifier StatestringmaxLength : 2
Other_Provider_Identifier_IssuerOther Provider Identifier IssuerstringmaxLength : 40
National_Provider_IdentifierOther_Provider_Identifier_In_NPPES_FileOther_Provider_IdentifierOther_Provider_Identifier_TypeOther_Provider_Identifier_StateOther_Provider_Identifier_Issuer
10139617622C8
1033533591106
10432565971`4
1043341928202
1043580707222
1063592848212
1073598322446
1073615027102
1073822987106
1073822987208