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Data Standards and Data Dictionary

* indicates required field

Length: 10
Source of Standard: CMS
Section Name: Hospital-Specific
Year Implemented: 2007
Version Implemented: 11.1
Record Types: A, M, C, I

XML NAACCR ID: npiReportingFacility

Parent XML Element: Tumor

Required Status:

NPCR Collect: R* - Required, when available
CoC Collect: R - Required
SEER Collect: R* - Required, when available
CCCR Collect: . - No recommendations

Description:

The NPI (National Provider Identifier) code for the facility submitting the data in the record.

NPI, a unique identification number for US health care providers, was scheduled for 2007-2008 implementation by the Centers for Medicare & Medicaid Services (CMS) as part of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). For billing purposes, large practices and large group providers were required to use NPI codes by May 2007; small health plans were required to use NPI codes by May 2008.

Rationale:

The NPI equivalent of Reporting Facility [540].

Item Data Type:

digits

Allowable Values

10-digit NPI code (9-digit NPI integer plus 1 check digit), blank

Codes:

Only valid NPI assigned 10-digit numeric codes (9-digit number plus 1 check digit). The check digit algorithm is available at: https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do