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National Provider Identifier
NPIprovider
Updated 5/16/2026
Definition
A unique 10-digit HIPAA-mandated identifier assigned by CMS to every covered healthcare provider in the US. Used across EHR, claims, pharmacy, and enrollment systems to standardize provider identification in 837, 835, and NCPDP transactions, replacing legacy identifiers such as UPIN and PIN.
Standard Abbreviation
NPI
Category
provider
Database Usage
-- Example column naming
CREATE TABLE claims (
clm_id VARCHAR(50),
npi VARCHAR(10), -- National Provider Identifier (max 10 chars)
...
);
-- Example in SELECT
SELECT
clm_id,
npi as national_provider_identifier
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
npi
-- Example DDL
CREATE TABLE healthcare_data (
record_id VARCHAR(50) NOT NULL,
npi VARCHAR(10), -- National Provider Identifier (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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