Information on a person who participates or is expected to participate in the care of a patient.

Data Element

Provider NPI


CDC's comment on behalf of CSTE for USCDI v5

CSTE agrees with CDC's recommendation for this data element. Often provider name and contact information are missing from reports received by public health. Depending on the urgency of a reported case it can be critical for public health staff to be able to quickly identify and reach the medical provider to investigate a case or outbreak of disease, particularly infectious diseases, and having an identifier such as NPI can be extremely helpful in achieving this during emergencies. 

CDC's comment on behalf of CSTE

CSTE is supportive of Care Team Provider NPI being included in v3. This information assists public health departments in identifying who to contact at the healthcare facilities for further information about the patient during case and outbreak investigations (receiving care provider name is often insufficient given common names and missing or erroneous contact information for the provider). 

Unified Comment from CDC

  • General Comment: Many Chiropractors, Dentists, Nurses, Pharmacists, Physical Therapists, Physicians, Psychologists, and other providers who are party to HIPAA standard transactions, must use the NPI in place of other provider identifiers. (see: The Provider NPI is widely captured, used, and exchanged by EHR and HIT systems.
  • Additional Use Cases: The MedMorph Public Health Use Cases of Health Care Surveys and Cancer Registry Reporting as well as the electronic case reporting (eCR) use case use Provider NPI as an important provider identifier for internal registry and external to registry linking and provider identification or matching purposes. Links to Use Case Project Pages:,,,
  • Additional Applicable Standards: HL7 CDA ® Release 2 Implementation Guide: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, Release 1, DSTU Release 1.1 – US Realm:
  • HL7 CDA® R2 Implementation Guide: National Health Care Surveys (NHCS), R1 STU Release 3 - US Realm:
  • HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm:
  • HL7 CDA® R2 Implementation Guide: Public Health Case Report, Release 2 - US Realm - the Electronic Initial Case Report (eICR):
  • CSTE supports inclusion of this measure into USCDI v3

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