Health Care Provider Characteristics Codes

10 Provider has a medical condition that impairs or limits him/her to practice
Start: 01/01/2004
11 Provider receives public funding
Start: 01/01/2004
13 This is a primary care group
Start: 01/01/2004
14 Provider has ownership or financial interest in another medical establishment
Start: 01/01/2004
15 Professional liability coverage has been restricted/terminated/or modified
Start: 01/01/2004
16 This is the provider's primary insurance coverage
Start: 01/01/2004
17 This is the provider's excess insurance coverage
Start: 01/01/2004
18 Excess insurance coverage exists for this provider
Start: 01/01/2004
19 Provider is self-insured
Start: 01/01/2004
1A Provider's self-insurance is funded
Start: 01/01/2004
1B Provider's self-insurance is not funded
Start: 01/01/2004
1C Provider has had adverse action on state license, certificate, or registration
Start: 01/01/2004
1D Provider has had adverse action on DEA or other applicable narcotic registration
Start: 01/01/2004
1E Provider has had adverse action on hospital or other health care facility staff membership for privileges
Start: 01/01/2004
1F Provider has had adverse action on professional organization membership
Start: 01/01/2004
1G Provider has had adverse action on Medicare, Medicaid or other government health programs
Start: 01/01/2004
1H Provider has had adverse action on any prepaid health plan or managed care participation
Start: 01/01/2004
1I Provider has had adverse action with respect to educational or training institution or program
Start: 01/01/2004
1J Provider has had adverse action by professional society or association
Start: 01/01/2004
1K Provider is under health plan administrative sanction
Start: 01/01/2004
1L Provider accepts Workers' Compensation
Start: 01/01/2004
1M Provider accepts Medicare assignment
Start: 01/01/2004
1N Provider accepts Medicaid assignment
Start: 01/01/2004
1O Provider participates in Medicare and accepts assignment
Start: 01/01/2004
1P Provider participates in Medicaid and accepts assignment
Start: 01/01/2004
1Q Provider is not accepting new patients for obstetric care
Start: 01/01/2004
1R This location is handicapped accessible
Start: 01/01/2004
1S This location is less than 1 block from public transportation
Start: 01/01/2004
1T This location is less than 5 blocks from public transportation
Start: 01/01/2004
1U This location is less than 1 mile from public transportation
Start: 01/01/2004
1V This location is 1 or more miles from public transportation
Start: 01/01/2004
1W This location has a full time assistant available
Start: 01/01/2004
1X This location has a part time assistant available
Start: 01/01/2004
1Y This location has Telecommunication Device for the Deaf (TDD) equipment
Start: 01/01/2004
1Z This location is medically fragile equipped
Start: 01/01/2004
20 This location employs para-professional staff/employees
Start: 01/01/2004
21 This location maintains para-professional credentialing, licensure & malpractice information
Start: 01/01/2004
22 This location admits and cares for patients on its own hospital service
Start: 01/01/2004
23 The scheduling time for urgent care at this location is more than 24 hours
Start: 01/01/2004
24 The scheduling time for symptomatic care at this location is more than 72 hours
Start: 01/01/2004
25 The scheduling time for routine visits at this location is more than 7 days
Start: 01/01/2004
26 The scheduling time for preventive routine care at this location is more than 30 days
Start: 01/01/2004
27 The waiting time at this location is more than 30 minutes from time of scheduled appointment
Start: 01/01/2004
28 Allergy skin testing is provided at this location
Start: 01/01/2004
29 Asthma treatment is provided at this location
Start: 01/01/2004
2A EKG services are provided at this location
Start: 01/01/2004
2B Flexible sigmoidoscopy is provided at this location
Start: 01/01/2004
2C IV hydration/treatment is provided at this location
Start: 01/01/2004
2D Laceration repair is provided at this location
Start: 01/01/2004
2E Laboratory services/testing is provided at this location
Start: 01/01/2004
2F Massage therapy is provided at this location
Start: 01/01/2004
2G Minor fracture work is provided at this location
Start: 01/01/2004
2H Minor surgery is provided at this location
Start: 01/01/2004
2I Occupational therapy is provided at this location
Start: 01/01/2004
2J Gynecology services are provided at this location
Start: 01/01/2004
2K Obstetric services are provided at this location
Start: 01/01/2004
2L Osteopathic manipulation is provided at this location
Start: 01/01/2004
2M Physical therapy is provided at this location
Start: 01/01/2004
2N Pulmonary function studies are provided at this location
Start: 01/01/2004
2O Speech pathology is provided at this location
Start: 01/01/2004
2P Hearing tests are provided at this location
Start: 01/01/2004
2Q Visual screenings are provided at this location
Start: 01/01/2004
2R Mammography services are provided at this location
Start: 01/01/2004
2S X-rays are provided at this location
Start: 01/01/2004
2T This hospital has a Medicare Prospective Payment System (PPS) exempt rehabilitation unit
Start: 01/01/2004
2U This hospital has a Medicare Prospective Payment System (PPS) exempt psychiatric unit
Start: 01/01/2004
2V Assistive aid information not collected from the provider
Start: 10/01/2006
55 Accepted
Start: 01/01/2004
56 Unspecified Error
Start: 01/01/2004
57 Failed Field Edits
Start: 01/01/2004
58 Minimum Fields Missing
Start: 01/01/2004
59 Exact Duplicate
Start: 01/01/2004
5A Rejected by NPI Enumerator
Start: 01/01/2004
5B Invalid Taxonomy Code
Start: 01/01/2004
5C Taxonomy Code Mismatch
Start: 01/01/2004
5D SSN Validation Error
Start: 01/01/2004
5E Mailing Address Error
Start: 01/01/2004
5F Location Address Error
Start: 01/01/2004
5G NPI not on File
Start: 01/01/2004
5H Invalid Deactivation Reason Code
Start: 01/01/2004
5I Pended by GateKeeper
Start: 01/01/2004
5J Pended by L/S/T
Start: 01/01/2004
5K Duplicate record
Start: 01/01/2004
5L Schema validation failed
Start: 01/01/2004
5M Individual Verification - Found
Start: 01/01/2004
5N Individual Verification - Not Found
Start: 01/01/2004
5O Individual Verification - Close Match
Start: 01/01/2004
5P Individual Verification - Insufficient Data
Start: 01/01/2004
5Q Organization Verification - Found
Start: 01/01/2004
5R Organization Verification - Not Found
Start: 01/01/2004
5S Organization Verification - Close Match
Start: 01/01/2004
5T Organization Verification - Insufficient Data
Start: 01/01/2004
5U Individual Data Dissemination - Fulfilled
Start: 01/01/2004
5V Individual Data Dissemination - Not Fulfilled
Start: 01/01/2004
5W Organization Data Dissemination - Fulfilled
Start: 01/01/2004
5X Organization Data Dissemination - Not Fulfilled
Start: 01/01/2004
5Y Unspecified Response
Start: 01/01/2004