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TMSIS Dataguide Medicaid.gov
Version 3.36.0

OPERATING-PROV-NPI-NUM

Data Element

DE Number

CIP265

System DE Number

CIP.003.265

File Name

CIP - CLAIM INPATIENT

File Segment Number

CIP00003

File Segment Name

CLAIM-LINE-RECORD-IP

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition The National Provider ID (NPI) of the provider who performed the surgical procedures on the beneficiary.
Size X(10)
FLF Start Position 308
FLF Stop Position 317
Segment Key Field Identifier Not Applicable
Coding Requirements 1. Value must be 10 digits
2. Value must have an associated Provider Identifier Type equal to "2"
3. Value must exist in the NPPES NPI data file
4. Conditional
5. When Type of Claim is in [1,3,A,C], then value must be populated
Valid Value Code Set Valid Value Code Valid Value Name Valid Value Description Effective Start Date Effective End Date
DE Number System DE Number DE Name File Segment Number File Segment Name