Nephrology Group Provider

Definition

An organizational provider with affiliated nephrologists and/or non-nephrologist clinicians delivering nephrology-related care to patients, identified by the presence of a qualifying primary NUCC provider taxonomy code or by an organization name containing certain keywords. 

Purpose

Used in the URSA-CKD module to identify clinician office visits with nephrology providers, of which staff affiliated with a nephrology group provider are a subset.

Related objects

• Providers
• Nephrologists and Nephrology Group Providers
• Clinician Office Visits with Nephrology Provider
• Patient Timelines of Empirical Attribution to Nephrology Provider

Detailed narrative of logic

1. As implemented in Nephrologists and Nephrology Group Providers, providers in Providers— which includes both individual and organizational providers — are included if they have a qualifying primary NUCC provider taxonomy code (see value set NEPHROLOGY SPECIALTY) or if the provider description includes the words “nephrology” or “nephrologist.”
2. Records in Nephrologists and Nephrology Group Providers associated with nephrology group providers have the field Is Individual Provider = 0.