United States Health Information Knowledgebase


Health Care Facility and Practitioner

Name:Health Care Facility and Practitioner
Type:Model View
Definition:Each provider should have a universal unique number across data systems. The National Provider Identifier and National Provider File (NPI/NPF), currently under development by the Health Care Financing Administration (HCFA) and intended for implementation in 1997, could and should meet this need, if all providers are included. The NPI/NPF will provide a common means of uniquely identifying health care providers, including institutions, individuals, and group practices, both Medicare providers and those in other programs. Participation in the system will be voluntary for non-HCFA providers at first. Currently some states are using state facility identifiers, but the Committee recommends that these identifiers be superseded by the NPI/NPF. that the NPF be the source of all unique provider identifiers, for institutions and individuals. Systems may also choose to collect other identifiers (e.g., tax number), which they can link to the NPI. The Committee recognizes that all practitioners may not be included initially in this system, but ultimately all should be included.
Registration Authority:Centers for Medicare & Medicaid Services
Administrative Attributes
Responsible Organization:Centers for Medicare & Medicaid Services
Submitting Organization:Centers for Medicare & Medicaid Services
Steward Organization:Centers for Medicare & Medicaid Services
Download as a PDF file.
[Download PDF Reader Exit Disclaimer]
Download as an MS Excel™ spreadsheet.
[Download Excel Reader Exit Disclaimer]
Relationship Organization Item
is a sub view of CMS Encounter Data   
is the parent view of CMS InPatient Data   
is the parent view of CMS OutPatient Data   
Relationship Organization Item
utilizes CMS Admission Date   
utilizes CMS Attending Physician Identification   
utilizes CMS Birth Weight of Newborn   
utilizes CMS Date of Encounter   
utilizes CMS Dates of Procedures   
utilizes CMS Diagnosis Chiefly Responsible for Services Provided   
utilizes CMS Discharge Date   
utilizes CMS Disposition   
utilizes CMS Disposition of Patient   
utilizes CMS External Cause of injury   
utilizes CMS Facility Identification   
utilizes CMS Health Care Practitioner Identification   
utilizes CMS Health Care Practitioner Specialty   
utilizes CMS Injury Related to Employment   
utilizes CMS Medications Prescribed   
utilizes CMS Operating Clinician Identification   
utilizes CMS Other Diagnoses - InPatient   
utilizes CMS Other Diagnoses - OutPatient   
utilizes CMS Other Procedures   
utilizes CMS Patients Expected Sources of Payment   
utilizes CMS Patient´s Stated Reason for Visit or Chief Complaint   
utilizes CMS Primary Diagnosis   
utilizes CMS Principal Diagnosis   
utilizes CMS Principal Procedure   
utilizes CMS Procedures and Services   
utilizes CMS Provider Location or Address of Encounter   
utilizes CMS Qualifier for Other Diagnoses   
utilizes CMS Total Billed Charge   
utilizes CMS Type of Encounter   
utilizes CMS Type of Facility/Place of Encounter   

There are no Value Domains linked to Health Care Facility and Practitioner.

Scroll To Top