latestOpenAPI 3.1.02026-08-1217210199.4 KB
1684e1dda9be
public-api
Lookup Provider
Look up a provider by NPI or by name+state.
NPI mode: returns active, deactivated (with name+state search candidates seeded from the deactivated record's name), not_found, or registry_error. Sandbox organizations may receive an active mock identity when the NPI is absent from the registry. Deactivated records with no name on file return an empty candidate list — the FE prompts for manual name+state entry.
Name mode: last_name is required, first_name and state are optional. Always returns search_results (the candidate list may be empty when no match is found).
post/provider/lookup
Request body
Response
Successful Response