01162
Provider Identifiers
2014-03-17
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 2C, "Code Tables") for suggested values.
LengthNot specified
12 values
CY | County number |
DEA | Drug Enforcement Agency no. |
GL | General ledger number |
L&I | Labor and industries number(Deprecated as of v 2.5; Use LI instead) |
LI | Labor and industries number |
MCD | Medicaid number |
MCR | Medicare number |
QA | QA number |
SL | State license number |
TAX | Tax ID number |
TRL | Training license number |
UPIN | Unique physician ID no. |
4 components
| 1 | R | - | ID Number | |
| 2 | R | Type of ID Number | ||
| 3 | O | - | State/other Qualifying Information | |
| 4 | O | - | Expiration Date |