00690

Practitioner ID Numbers

2014-11-02
Definition: As of version 2.5, this field has been retained for backward compatibility only. Practitioner ID numbers should be contained in STF-2 Staff Identifier List. This repeating field contains this practitioner's license numbers and other ID numbers. This is a field made up of the following components: (1) the ID number, and (2) the type of number, and optionally (3) the state or province in which it is valid, if relevant, or other qualifying information. It is recommended that state qualifications use the abbreviations from the postal service of the country. The practitioner ID number type (component 2) is a user-defined table (User-defined Table 0338 - Practitioner ID Number in Chapter 2C, Code Tables).
LengthNot specified
12 values
CYCounty number
DEADrug Enforcement Agency no.
GLGeneral ledger number
L&ILabor and industries number(Deprecated as of v 2.5; Use LI instead)
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