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provider attending

prvdr_attnd_npi
provider·Updated Jun 23, 2026

Definition

ISO-11179 Definition

The National Provider Identifier of the physician responsible for overall management and coordination of a patient inpatient hospital stay, identified on UB-04 institutional claims in the attending physician field. The attending physician directs the inpatient care plan, coordinates specialist consultations, makes admission and discharge decisions, and bears primary clinical responsibility for the hospitalized patient. Attending physician identification on inpatient claims is used in quality measurement programs to attribute readmissions and inpatient outcomes to the responsible physician, in care management platforms to identify the correct provider for transitional care outreach following discharge, and in physician performance programs that evaluate inpatient care efficiency and quality.

Healthcare data teams use prvdr_attnd_npi in inpatient claims analytics to calculate attending physician-level readmission rates, length of stay patterns, and inpatient cost efficiency metrics.

Standard Abbreviation

prvdr_attnd_npi

Category

provider

Production DDL — DIM_PROVIDER

DIM_PROVIDER.sql
CREATE OR REPLACE TABLE DIM_PROVIDER (
    prvdr_key           INTEGER        NOT NULL  -- surrogate key,
    prvdr_npi           VARCHAR(10)              -- NPI number,
    prvdr_tin           VARCHAR(10)              -- tax ID number,
    prvdr_first_nm      VARCHAR(100)             -- first name,
    prvdr_last_nm       VARCHAR(100)             -- last name,
    prvdr_org_nm        VARCHAR(255)             -- organization name,
    prvdr_typ_cd        VARCHAR(20)              -- provider type code,
    prvdr_spclty_cd     VARCHAR(10)              -- specialty code,
    prvdr_tax           VARCHAR(10)              -- taxonomy code,
    prvdr_state_cd      CHAR(2)                  -- state code,
    prvdr_zip_cd        VARCHAR(10)              -- zip code,
    prvdr_ntwk_sts      VARCHAR(10)              -- network status,
    prvdr_accpt_pt_ind  CHAR(1)                  -- accepting patients,
    prvdr_excl_ind      CHAR(1)                  -- exclusion indicator,
    load_dt             TIMESTAMP_NTZ  NOT NULL  -- load timestamp
);

Standard Snowflake DDL for the canonical provider table. Convert to BigQuery or Databricks →

Why This Term Matters

Provider data management is one of the most operationally complex data domains in healthcare because providers move, merge, and update their credentials continuously. A data engineer who understands provider terminology can build NPI validation, credentialing, and network adequacy pipelines that keep provider directories accurate and prevent claim rejections. Stale or incorrect provider data is a leading cause of prior authorization delays and CMS compliance findings.

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