Billing Provider NPI

bill_prov_npi

provider

Updated 5/16/2026

Definition

The 10-digit National Provider Identifier assigned to the entity submitting a claim for payment, mapped to Loop 2010AA in the ANSI X12 837 transaction. Used in EHR and claims systems to route reimbursements and audit billing entity compliance.

Standard Abbreviation

bill_prov_npi

Database Usage

-- Example column naming
CREATE TABLE claims (
  clm_id VARCHAR(50),
  bill_prov_npi VARCHAR(10),  -- Billing Provider NPI (max 10 chars)
  ...
);

-- Example in SELECT
SELECT
  clm_id,
  bill_prov_npi as billing_provider_npi
FROM claims;

Common uses in healthcare data

Provider data management and credentialing workflows
Network adequacy analysis and directory accuracy
NPI validation and NPPES registry reconciliation
Provider master data management (MDM)
Payer-provider contract and fee schedule management

Example database column name

ISO-11179 snake_case standard

-- Recommended column name
billing_provider_npi

-- Example DDL
CREATE TABLE healthcare_data (
  record_id   VARCHAR(50)   NOT NULL,
  billing_provider_npi VARCHAR(10),  -- Billing Provider NPI (max 10 chars)
  created_dt  TIMESTAMP     NOT NULL DEFAULT NOW()
);

Column names follow the ISO-11179 naming convention: lowercase, underscore-separated, using the standard abbreviation as a prefix where applicable.

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