01162

Provider Identifiers

2007-10-26
Definition: This repeating field contains the provider's unique identifiers such as UPIN, Medicare and Medicaid numbers. Refer to User-defined Table 0338 - Practitioner ID number type (in Chapter 2A, section 2.A.54.2) for suggested values.
Length≤100
12 values
CYCounty number
DEADrug Enforcement Agency no.
GLGeneral ledger number
L&ILabor and industries number
LILabor and industries number
MCDMedicaid number
MCRMedicare number
QAQA number
SLState license number
TAXTax ID number
TRLTraining license number
UPINUnique physician ID no.
4 components
1R-ID Number
2RType of ID Number
3O-State/other Qualifying Information
4O-Expiration Date