For AI agents: a documentation index is available at the root level at /llms.txt. Append /llms.txt to any URL for a page-level index, or .md for the markdown version of any page.
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Request
This endpoint expects an object.
npistringRequired
The NPI of the provider. This must be all digits [0-9] and exactly 10 characters long.
is_renderingbooleanRequired
Whether the provider can be used to render services.
is_billingbooleanRequired
Whether the provider can be used to bill services.
provider_typeenumRequired
Whether the provider is an individual (NPPES Type 1) or organization (NPPES Type 2) provider.
Allowed values:
license_typeenumRequired
The type of license that the provider holds.
qualificationslist of objectsRequired
A provider's qualifications such as PTAN, Medicaid Provider Id, etc.
first_namestring or nullOptional
The first name of the provider. Required when provider_type is INDIVIDUAL. Must not be set when provider_type is ORGANIZATION.
last_namestring or nullOptional
The last name of the provider. Required when provider_type is INDIVIDUAL. Must not be set when provider_type is ORGANIZATION.
organization_namestring or nullOptional
The name of the provider. Required when provider_type is ORGANIZATION. Must not be set when provider_type is INDIVIDUAL.
tax_idstring or nullOptional
Required when is_billing is true. If the provider has a contract with insurance, this must be the same tax ID given to the payer on an IRS W-9 form completed during contracting.
taxonomy_codestring or nullOptional
A code designating classification and specialization.
addresseslist of objects or nullOptional
The addresses associated with this provider.
employment_start_datedate or nullOptional
The employment start date for the provider.
employment_termination_datedate or nullOptional
The employment termination date for the provider.
Response
npistring
The NPI of the provider. This must be all digits [0-9] and exactly 10 characters long.
is_renderingboolean
Whether the provider can be used to render services.
is_billingboolean
Whether the provider can be used to bill services.
provider_typeenum
Whether the provider is an individual (NPPES Type 1) or organization (NPPES Type 2) provider.
Allowed values:
license_typeenum
The type of license that the provider holds.
organization_provider_idstringformat: "uuid"
Auto-generated ID set on creation.
qualificationslist of objects
Qualification given to a provider (PTAN, Medicaid Provider Id etc.).
first_namestring or nullOptional
The first name of the provider, if the provider is an individual.
last_namestring or nullOptional
The last name of the provider, if the provider is an individual.
organization_namestring or nullOptional
The name of the provider, if the provider is an organization.
tax_idstring or nullOptional
If the provider has a contract with insurance, this must be the same tax ID given to the payer on an IRS W-9 form completed during contracting.
taxonomy_codestring or nullOptional
A code designating classification and specialization.
