provider ein
prvdr_einDefinition
ISO-11179 Definition
The Employer Identification Number assigned by the Internal Revenue Service to healthcare organizations including hospitals, medical groups, clinics, and health systems for federal tax identification purposes. The EIN is a nine-digit number in the format XX-XXXXXXX and serves as the primary tax identifier for organizational healthcare providers on Medicare and Medicaid claims, W-9 forms, and 1099-MISC tax reporting. CMS requires providers to maintain current EIN registrations to receive Medicare reimbursement.
Healthcare data teams use prvdr_ein to link provider billing records to organizational tax entities, validate provider identity during credentialing workflows, detect billing anomalies where multiple organizations share an EIN, and support payment integrity analytics comparing billing patterns across provider tax entities.
Standard Abbreviation
prvdr_ein
Category
Production DDL — DIM_PROVIDER
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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