10Provider has a medical condition that impairs or limits him/her to practice
11Provider receives public funding
12This is a multi-specialty group
Note: Deactivated effective 10/01/2005
13This is a primary care group
14Provider has ownership or financial interest in another medical establishment
15Professional liability coverage has been restricted/terminated/or modified
16This is the provider’s primary insurance coverage
17This is the provider’s excess insurance coverage
18Excess insurance coverage exists for this provider
19Provider is self-insured
1AProvider’s self-insurance is funded
1BProvider’s self-insurance is not funded
1CProvider has had adverse action on state license, certificate, or registration
1DProvider has had adverse action on DEA or other applicable narcotic registration
1EProvider has had adverse action on hospital or other health care facility staff membership for privileges
1FProvider has had adverse action on professional organization membership
1GProvider has had adverse action on Medicare, Medicaid or other government health programs
1HProvider has had adverse action on any prepaid health plan or managed care participation
1IProvider has had adverse action with respect to educational or training institution or program
1JProvider has had adverse action by professional society or association
1KProvider is under health plan administrative sanction
1LProvider accepts Workers’ Compensation
1MProvider accepts Medicare assignment
1NProvider accepts Medicaid assignment
1OProvider participates in Medicare and accepts assignment
1PProvider participates in Medicaid and accepts assignment
1QProvider is not accepting new patients for obstetric care
1RThis location is handicapped accessible
1SThis location is less than 1 block from public transportation
1TThis location is less than 5 blocks from public transportation
1UThis location is less than 1 mile from public transportation
1VThis location is 1 or more miles from public transportation
1WThis location has a full time assistant available
1XThis location has a part time assistant available
1YThis location has Telecommunication Device for the Deaf (TDD) equipment
1ZThis location is medically fragile equipped
20This location employs para-professional staff/employees
21This location maintains para-professional credentialing, licensure & malpractice information
22This location admits and cares for patients on its own hospital service
23The scheduling time for urgent care at this location is more than 24 hours
24The scheduling time for symptomatic care at this location is more than 72 hours
25The scheduling time for routine visits at this location is more than 7 days
26The scheduling time for preventive routine care at this location is more than 30 days
27The waiting time at this location is more than 30 minutes from time of scheduled appointment
28Allergy skin testing is provided at this location
29Asthma treatment is provided at this location
2AEKG services are provided at this location
2BFlexible sigmoidoscopy is provided at this location
2CIV hydration/treatment is provided at this location
2DLaceration repair is provided at this location
2ELaboratory services/testing is provided at this location
2FMassage therapy is provided at this location
2GMinor fracture work is provided at this location
2HMinor surgery is provided at this location
2IOccupational therapy is provided at this location
2JGynecology services are provided at this location
2KObstetric services are provided at this location
2LOsteopathic manipulation is provided at this location
2MPhysical therapy is provided at this location
2NPulmonary function studies are provided at this location
2OSpeech pathology is provided at this location
2PHearing tests are provided at this location
2QVisual screenings are provided at this location
2RMammography services are provided at this location
2SX-rays are provided at this location
2TThis hospital has a Medicare Prospective Payment System (PPS) exempt rehabilitation unit
2UThis hospital has a Medicare Prospective Payment System (PPS) exempt psychiatric unit
2VAssistive aid information not collected from the provider
Note: New code 7/1/2006, effective 10/1/2006
55Accepted
56Unspecified Error
57Failed Field Edits
58Minimum Fields Missing
59Exact Duplicate
5ARejected by NPI Enumerator
5BInvalid Taxonomy Code
5CTaxonomy Code Mismatch
5DSSN Validation Error
5EMailing Address Error
5FLocation Address Error
5GNPI not on File
5HInvalid Deactivation Reason Code
5IPended by GateKeeper
5JPended by L/S/T
5KDuplicate record
5LSchema validation failed
5MIndividual Verification – Found
5NIndividual Verification - Not Found
5OIndividual Verification - Close Match
5PIndividual Verification – Insufficient Data
5QOrganization Verification – Found
5ROrganization Verification - Not Found
5SOrganization Verification – Close Match
5TOrganization Verification - Insufficient Data
5UIndividual Data Dissemination - Fulfilled
5VIndividual Data Dissemination - Not Fulfilled
5WOrganization Data Dissemination - Fulfilled
5XOrganization Data Dissemination - Not Fulfilled
5YUnspecified Response