10 |
Provider has a medical condition that impairs or limits him/her to practice Effective 1/1/2004 |
11 |
Provider receives public funding Effective 1/1/2004 |
12 |
This is a multi-specialty group Deactivated 10/1/2005 |
13 |
This is a primary care provider Effective 1/1/2004 |
14 |
Provider has ownership or financial interest in another medical establishment Effective 1/1/2004 |
15 |
Professional liability coverage has been restricted/terminated/or modified Effective 1/1/2004 |
16 |
This is the provider’s primary insurance coverage Effective 1/1/2004 |
17 |
This is the provider’s excess insurance coverage Effective 1/1/2004 |
18 |
Excess insurance coverage exists for this provider Effective 1/1/2004 |
19 |
Provider is self-insured Effective 1/1/2004 |
1A |
Provider’s self-insurance is funded Effective 1/1/2004 |
1B |
Provider’s self-insurance is not funded Effective 1/1/2004 |
1C |
Provider has had adverse action on state license, certificate, or registration Effective 1/1/2004 |
1D |
Provider has had adverse action on DEA or other applicable narcotic registration Effective 1/1/2004 |
1E |
Provider has had adverse action on hospital or other health care facility staff membership for privileges Effective 1/1/2004 |
1F |
Provider has had adverse action on professional organization membership Effective 1/1/2004 |
1G |
Provider has had adverse action on Medicare, Medicaid or other government health programs Effective 1/1/2004 |
1H |
Provider has had adverse action on any prepaid health plan or managed care participation Effective 1/1/2004 |
1I |
Provider has had adverse action with respect to educational or training institution or program Effective 1/1/2004 |
1J |
Provider has had adverse action by professional society or association Effective 1/1/2004 |
1K |
Provider is under health plan administrative sanction Effective 1/1/2004 |
1L |
Provider accepts Workers’ Compensation Effective 1/1/2004 |
1M |
Provider accepts Medicare assignment Effective 1/1/2004 |
1N |
Provider accepts Medicaid assignment Effective 1/1/2004 |
1O |
Provider participates in Medicare and accepts assignment Effective 1/1/2004 |
1P |
Provider participates in Medicaid and accepts assignment Effective 1/1/2004 |
1Q |
Provider is not accepting new patients for obstetric care Effective 1/1/2004 |
1R |
This location is handicapped accessible Effective 1/1/2004 |
1S |
This location is less than 1 block from public transportation Effective 1/1/2004 |
1T |
This location is less than 5 blocks from public transportation Effective 1/1/2004 |
1U |
This location is less than 1 mile from public transportation Effective 1/1/2004 |
1V |
This location is 1 or more miles from public transportation Effective 1/1/2004 |
1W |
This location has a full time assistant available Effective 1/1/2004 |
1X |
This location has a part time assistant available Effective 1/1/2004 |
1Y |
This location has Telecommunication Device for the Deaf (TDD) equipment Effective 1/1/2004 |
1Z |
This location is medically fragile equipped Effective 1/1/2004 |
20 |
This location employs para-professional staff/employees Effective 1/1/2004 |
21 |
This location maintains para-professional credentialing, licensure & malpractice information Effective 1/1/2004 |
22 |
This location admits and cares for patients on its own hospital service Effective 1/1/2004 |
23 |
The scheduling time for urgent care at this location is more than 24 hours Effective 1/1/2004 |
24 |
The scheduling time for symptomatic care at this location is more than 72 hours Effective 1/1/2004 |
25 |
The scheduling time for routine visits at this location is more than 7 days Effective 1/1/2004 |
26 |
The scheduling time for preventive routine care at this location is more than 30 days Effective 1/1/2004 |
27 |
The waiting time at this location is more than 30 minutes from time of scheduled appointment Effective 1/1/2004 |
28 |
Allergy skin testing is provided at this location Effective 1/1/2004 |
29 |
Asthma treatment is provided at this location Effective 1/1/2004 |
2A |
EKG services are provided at this location Effective 1/1/2004 |
2B |
Flexible sigmoidoscopy is provided at this location Effective 1/1/2004 |
2C |
IV hydration/treatment is provided at this location Effective 1/1/2004 |
2D |
Laceration repair is provided at this location Effective 1/1/2004 |
2E |
Laboratory services/testing is provided at this location Effective 1/1/2004 |
2F |
Massage therapy is provided at this location Effective 1/1/2004 |
2G |
Minor fracture work is provided at this location Effective 1/1/2004 |
2H |
Minor surgery is provided at this location Effective 1/1/2004 |
2I |
Occupational therapy is provided at this location Effective 1/1/2004 |
2J |
Gynecology services are provided at this location Effective 1/1/2004 |
2K |
Obstetric services are provided at this location Effective 1/1/2004 |
2L |
Osteopathic manipulation is provided at this location Effective 1/1/2004 |
2M |
Physical therapy is provided at this location Effective 1/1/2004 |
2N |
Pulmonary function studies are provided at this location Effective 1/1/2004 |
2O |
Speech pathology is provided at this location Effective 1/1/2004 |
2P |
Hearing tests are provided at this location Effective 1/1/2004 |
2Q |
Visual screenings are provided at this location Effective 1/1/2004 |
2R |
Mammography services are provided at this location Effective 1/1/2004 |
2S |
X-rays are provided at this location Effective 1/1/2004 |
2T |
This hospital has a Medicare Prospective Payment System (PPS) exempt rehabilitation unit Effective 1/1/2004 |
2U |
This hospital has a Medicare Prospective Payment System (PPS) exempt psychiatric unit Effective 1/1/2004 |
2V |
Assistive aid information not collected from the provider Effective 10/1/2006
|
55 |
Accepted Effective 1/1/2004 |
56 |
Unspecified Error Effective 1/1/2004 |
57 |
Failed Field Edits Effective 1/1/2004 |
58 |
Minimum Fields Missing Effective 1/1/2004 |
59 |
Exact Duplicate Effective 1/1/2004 |
5A |
Rejected by NPI Enumerator Effective 1/1/2004 |
5B |
Invalid Taxonomy Code Effective 1/1/2004 |
5C |
Taxonomy Code Mismatch Effective 1/1/2004 |
5D |
SSN Validation Error Effective 1/1/2004 |
5E |
Mailing Address Error Effective 1/1/2004 |
5F |
Location Address Error Effective 1/1/2004 |
5G |
NPI not on File Effective 1/1/2004 |
5H |
Invalid Deactivation Reason Code Effective 1/1/2004 |
5I |
Pended by GateKeeper Effective 1/1/2004 |
5J |
Pended by L/S/T Effective 1/1/2004 |
5K |
Duplicate record Effective 1/1/2004 |
5L |
Schema validation failed Effective 1/1/2004 |
5M |
Individual Verification – Found Effective 1/1/2004 |
5N |
Individual Verification - Not Found Effective 1/1/2004 |
5O |
Individual Verification - Close Match Effective 1/1/2004 |
5P |
Individual Verification – Insufficient Data Effective 1/1/2004 |
5Q |
Organization Verification – Found Effective 1/1/2004 |
5R |
Organization Verification - Not Found Effective 1/1/2004 |
5S |
Organization Verification – Close Match Effective 1/1/2004 |
5T |
Organization Verification - Insufficient Data Effective 1/1/2004 |
5U |
Individual Data Dissemination - Fulfilled Effective 1/1/2004 |
5V |
Individual Data Dissemination - Not Fulfilled Effective 1/1/2004 |
5W |
Organization Data Dissemination - Fulfilled Effective 1/1/2004 |
5X |
Organization Data Dissemination - Not Fulfilled Effective 1/1/2004 |
5Y |
Unspecified Response Effective 1/1/2004 |
5Z |
This location is a retail health center Effective 7/1/2018
|
6A |
This provider is a free-standing laboratory Effective 7/1/2018 |
6B |
This provider is a free-standing imaging center Effective 7/1/2018 |
6C |
This is a mobile provider that travels to the location of a patient and does not have a specific service address Effective 7/1/2018 |
6D |
This location is an urgent care center Effective 7/1/2018 |
6E |
This provider offers telehealth services Effective 7/1/2018 |
6F |
Medication–assisted Treatment (MAT) for Opioid Use Disorders is provided at this location Effective 1/1/2019 |
6G |
Physician authorized to dispense Medication–assisted Treatment (MAT) for Opioid Use Disorders Effective 1/1/2019 |
6H |
This location is a certified Opioid Treatment Program Effective 1/1/2019 |
6I |
Counseling for Opioid Use Disorders is provided at this location Effective 1/1/2019 |
6J |
This provider offers testing for COVID-19 Effective 4/1/2020 |
6K |
This provider offers a vaccine for COVID-19 Effective 1/1/2021 |
6L |
This provider offers only virtual services Effective 4/1/2021 |
6M |
Provider may be in contract renegotiations Effective 4/1/2021 |
6N |
Durable medical equipment & medical supplies related to patient mobility assistance is available at this location Effective 4/1/2021 |
6O |
Durable medical equipment & medical supplies related to blood sugar maintenance is available at this location Effective 4/1/2021 |
6P |
Durable medical equipment & medical supplies related to patient bedding is available at this location Effective 4/1/2021 |
6Q |
Durable medical equipment & medical supplies related to sleep apnea is available at this location Effective 4/1/2021 |
6R |
Durable medical equipment & medical supplies related to infusion therapy is available at this location Effective 4/1/2021 |
6S |
This location provides only laboratory specimen collection, not onsite testing services Effective 4/1/2021 |
6T |
This provider offers a vaccine for influenza Effective 4/1/2021 |
6U |
This provider offers mass immunizations Effective 4/1/2021 |
6V |
Qualified medical interpreter services are provided at this location Effective 4/1/2021 |
6W |
No appointment is required at this location Effective 4/1/2021 |
6X |
This provider offers concierge services for a special fee Effective 4/1/2021 |
6Y |
This provider is an Essential Community Provider Effective 4/1/2021 |
6Z |
This provider is an Essential Access Community Hospital Effective 4/1/2021 |
7A |
This provider is an Indian Health Service (IHS)/Tribal 638/Urban Indian Provider Effective 4/1/2021 |
7B |
This provider has an area of focus in Attention Deficit Disorders (ADD/ADHD) Effective 4/1/2021 |
7C |
This provider has an area of focus in adoption related services Effective 4/1/2021 |
7D |
This provider has an area of focus in anxiety and panic disorders Effective 4/1/2021 |
7E |
This provider has an area of focus in dialectical behavioral therapy Effective 4/1/2021 |
7F |
This provider has an area of focus in bipolar disorders/manic depressive illness Effective 4/1/2021 |
7G |
This provider has an area of focus in depression Effective 4/1/2021 |
7H |
This provider has an area of focus in personality disorders Effective 4/1/2021 |
7I |
This provider has an area of focus in schizophrenia disorders Effective 4/1/2021 |
7J |
This provider has an area of focus in autism spectrum disorders Effective 4/1/2021 |
7K |
This provider has an area of focus in behavioral therapy for autism spectrum disorders Effective 4/1/2021 |
7L |
This provider has an area of focus in bariatric psych assessment Effective 4/1/2021 |
7M |
This provider has an area of focus in eating disorders Effective 4/1/2021 |
7N |
This provider has an area of focus in behavior modification Effective 4/1/2021 |
7O |
This provider has an area of focus in cognitive behavioral therapy (CBT) Effective 4/1/2021 |
7P |
This provider has an area of focus in Solution-Focused Brief Therapy Effective 4/1/2021 |
7Q |
This provider has an area of focus in chemical dependency/chemical dependency assessment Effective 4/1/2021 |
7R |
This provider has an area of focus in faith counseling Effective 4/1/2021 |
7S |
This provider has an area of focus in compulsive gambling Effective 4/1/2021 |
7T |
This provider has an area of focus in cultural issues Effective 4/1/2021 |
7U |
This provider has an area of focus in divorce and blended family issues Effective 4/1/2021 |
7V |
This provider has an area of focus in family therapy Effective 4/1/2021 |
7W |
This provider has an area of focus in group therapy Effective 4/1/2021 |
7X |
This provider has an area of focus in electroconvulsive therapy Effective 4/1/2021 |
7Y |
This provider has an area of focus in sexual orientation issues Effective 4/1/2021 |
7Z |
This provider has an area of focus in medication management Effective 4/1/2021 |
8A |
This provider has an area of focus in neuropsychological testing Effective 4/1/2021 |
8B |
This provider has an area of focus in psychological testing Effective 4/1/2021 |
8C |
This provider has an area of focus in obsessive compulsive disorder Effective 4/1/2021 |
8D |
This provider has an area of focus in pain management Effective 4/1/2021 |
8E |
This provider has an area of focus in transgender issues Effective 4/1/2021 |
8F |
This provider has an area of focus in sexual disorders Effective 4/1/2021 |
8G |
This provider has an area of focus in abuse, assault and trauma Effective 4/1/2021 |
8H |
This provider has an area of focus in post-traumatic stress disorder (PTSD) Effective 4/1/2021 |
8I |
This provider has an area of focus in HIV/AIDS issues Effective 4/1/2021 |
8J |
This provider has an area of focus in men's issues Effective 4/1/2021 |
8K |
This provider has an area of focus in women's issues Effective 4/1/2021 |
8L |
This provider has an area of focus in prenatal issues Effective 4/1/2021 |
8M |
This provider has an area of focus in postpartum issues Effective 4/1/2021 |
8N |
This provider has an area of focus in fertility Effective 4/1/2021 |
8O |
This provider has an area of focus in geriatrics Effective 4/1/2021 |
8P |
This provider has an area of focus in end of life issues Effective 4/1/2021 |
8Q |
This provider offers treatment or rehabilitation to individuals with substance use disorders in an inpatient residential setting Effective 4/1/2021 |
8R |
This provider offers intensive inpatient treatment to individuals with substance use disorders for crisis stabilization in a hospital setting, usually for less than 30 days Effective 4/1/2021 |
8S |
This provider offers intensive treatment to individuals with substance use disorders to prevent hospitalization or as continuation of treatment following an inpatient hospitalization. Patients attend sessions for usually six or more hours a day most days Effective 4/1/2021 |
8T |
This provider offers treatment to individuals with substance use disorders in an outpatient clinic or private office setting Effective 4/1/2021 |
8U |
This provider offers outpatient treatment that is less intensive than partial hospitalization to individuals with substance use disorders. Patients live independently and attend sessions for usually three to four hours a day Effective 4/1/2021 |
8V |
This provider offers treatment or rehabilitation to individuals with behavioral or mental health disorders in an inpatient residential setting Effective 4/1/2021 |
8W |
This provider offers intensive inpatient treatment to individuals with behavioral or mental health disorders for crisis stabilization in a hospital setting, usually for less than 30 days Effective 4/1/2021 |
8X |
This provider offers intensive treatment to individuals with behavioral or mental health disorders to prevent hospitalization or as continuation of treatment following an inpatient hospitalization. Patients attend sessions for usually six or more hours a day most days of the week Effective 4/1/2021 |
8Y |
This provider offers treatment to individuals with behavioral or mental health disorders in an outpatient clinic or private office setting Effective 4/1/2021 |
8Z |
This provider offers outpatient treatment that is less intensive than partial hospitalization to individuals with behavioral or mental health disorders. Patients live independently and attend sessions for usually three to four hours a day Effective 4/1/2021 |
9A |
This provider offers services that meet the social, cultural, and linguistic needs of persons Effective 4/1/2021 |
9B |
This location offers access that complies with the Americans with Disabilities Act, including any applicable amendments Effective 4/1/2021 |
9C |
This location is accessible to public transportation Effective 4/1/2021 |
9D |
This provider offers the capability to communicate when intended recipient is not immediately available Effective 4/1/2021 |
9E |
This provider offers services for visually impaired persons Effective 4/1/2021 |
9F |
This provider offers services for cognitively impaired persons Effective 4/1/2021 |
9G |
This location offers services for mobility impaired persons Effective 4/1/2021 |