Others titles

  • Taxonomy Code List July 2019
  • National Ultimate Claim Form NUCC Taxonomy Code Set July 2019
  • Health Care Provider Taxonomy Code Set July 2019

Keywords

  • NPI Lookup
  • CMS 1500
  • CMS 1500 Claim Form
  • Taxonomy Codes
  • HCFA 1500
  • Taxonomy Definition
  • Health Care Provider
  • NUCC
  • Taxonomy
  • Taxonomy Code List

NUCC Health Provider Taxonomy Code Set

This dataset shows the Health Care Provider Taxonomy code set. These code set are a collection of unique alphanumeric codes, ten characters in length. The code set is structured into three distinct “Levels” including Provider Grouping, Classification, and Area of Specialization.

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Description

The Health Care Provider Taxonomy code set is an external, nonmedical data code set designed for use in an electronic environment, specifically within the ASC X12N Health Care transactions. This includes the transactions mandated under HIPAA.
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct “Levels” including Provider Grouping, Classification, and Area of Specialization.

The National Uniform Claim Committee (NUCC) is presently maintaining the code set. It is used in transactions specified in HIPAA and the National Provider Identifier (NPI) application for enumeration. Effective 2001, the NUCC took over the administration of the code set. Ongoing duties, including processing taxonomy code requests and maintenance of the code set, fall under the NUCC Code Subcommittee. The Health Care Provider Taxonomy code set allows a single provider (individual, group, or institution) to identify their specialty category. Providers may have one or more than one value associated with them. When determining what value or values to associate with a provider, the user needs to review the requirements of the trading partner with which the value(s) are being used.

About this Dataset

Data Info

Date Created

2017-07-01

Last Modified

2020-07-01

Version

20.1

Update Frequency

Semiannual

Temporal Coverage

2020

Spatial Coverage

United States

Source

John Snow Labs; National Uniform Claim Committee (NUCC);

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

NPI Lookup, CMS 1500, CMS 1500 Claim Form, Taxonomy Codes, HCFA 1500, Taxonomy Definition, Health Care Provider, NUCC, Taxonomy, Taxonomy Code List

Other Titles

Taxonomy Code List July 2019, National Ultimate Claim Form NUCC Taxonomy Code Set July 2019, Health Care Provider Taxonomy Code Set July 2019

Data Fields

Name Description Type Constraints
CodeTaxonomy code set is a collection of unique alphanumeric codes, ten characters in length.stringrequired : 1
GroupingThe code set is structured into three distinct "Levels" and one of it is “Provider Grouping”. Level I, Provider Grouping: A major grouping of service(s) or occupation(s) of health care providers. For example: Allopathic & Osteopathic Physicians, Dental Providers, Hospitals, etc.stringrequired : 1
ClassificationThe code set is structured into three distinct "Levels" and one of it is “Classification”. Level II, Classification: A more specific service or occupation related to the Provider Grouping. For example, the Classification for Allopathic & Osteopathic Physicians is based upon the General Specialty Certificates as issued by the appropriate national boards. The following boards will however, have their general certificates appear as Level III areas of specialization strictly due to display limitations of the code set for Boards that have multiple general certificates: Medical Genetics, Preventive Medicine, Psychiatry & Neurology, Radiology, Surgery, Otolaryngology, Pathology.stringrequired : 1
SpecializationThe code set is structured into three distinct "Levels" and one of it is “Area of Specialization”. Level III, Area of Specialization: A more specialized area of the Classification in which a provider chooses to practice or make services available. For example, the Area of Specialization for provider type Allopathic & Osteopathic Physicians is based upon the Subspecialty Certificates as issued by the appropriate national boards. The Health Care Provider Taxonomy code set Levels are organized to allow for drilling down to the provider's most specific level of specialization. The ten digit codes for each provider category are unique and contain no embedded logic. The codes and categories are to be used exactly as they are assigned in the Taxonomy list. At no time should codes be separated to form new codes, parsed apart, or edited on any one position within the code. See "How do I request a change?" if you identify a need for a provider category.string-
DefinitionDefining the code at each level.string-
NotesFootnotes on updates, revision and addition of new code.string-

Data Preview

CodeGroupingClassificationSpecializationDefinitionNotes
193200000XGroupMulti-SpecialtyA business group of one or more individual practitioners, who practice with different areas of specialization.[7/1/2003: new]
193400000XGroupSingle SpecialtyA business group of one or more individual practitioners, all of who practice with the same area of specialization.[7/1/2003: new]
207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAn allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.
207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyDefinition to come...
207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory ImmunologyDefinition to come...
207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.
207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction MedicineAn anesthesiologist who specializes in the diagnosis and treatment of addictions.Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology.
207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care MedicineAn anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.
207LH0002XAllopathic & Osteopathic PhysiciansAnesthesiologyHospice and Palliative MedicineAn anesthesiologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new]
207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineAn anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]<br/>Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification<br/>Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.