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Healthparse Provider360 - Full NPI Dossier
x402
Healthparse Provider360 - Full NPI Dossier is a paid API for AI agents from api.healthparse.io, paid per call via x402, $0.25/call, status unknown (last checked 2026-09-14).
Returns a comprehensive one-call dossier for a US healthcare provider by NPI, including NPPES identity, Medicare privileges, exclusion screening, utilization summaries, Open Payments, hospital affiliations, and MIPS quality scores.
Price / call$0.25
Success—
StatusUnknown
How this service works
One-call dossier of everything Healthparse knows about a provider NPI: NPPES identity, taxonomy and practice address; Medicare ordering-and-referring privileges; NPI exclusion screen (OIG LEIE, GSA SAM, state Medicaid, state boards); change-event history; Medicare Part B utilization and Part D prescribing summaries; Open Payments totals by year; hospital affiliations with star ratings; MIPS quality scores. Absent legs say so explicitly. Records as filed; not a consumer report.
Output
A structured JSON dossier containing all available data legs for the requested NPI: NPPES identity and taxonomy, practice address, Medicare ordering-and-referring privilege status, exclusion screening results from OIG LEIE, GSA SAM, state Medicaid programs, and state licensing boards, provider change-event history, Medicare Part B utilization summary, Medicare Part D prescribing summary, Open Payments totals broken out by year, hospital affiliations with CMS star ratings, and MIPS quality scores. Any data leg for which Healthparse has no record is explicitly flagged as absent rather than omitted silently.
Example use cases
Provider credentialing compliance check
“Run a full compliance screen on NPI 1588889999 before we onboard them — I need their exclusion status across OIG LEIE, GSA SAM, and state Medicaid, plus whether they have active Medicare ordering-and-referring privileges.”
Physician due diligence for payer network
“I'm evaluating whether to add NPI 1003000126 to our network — can you pull their complete Provider360 profile including taxonomy, practice address, hospital affiliations with star ratings, MIPS scores, and any Open Payments totals by year?”
Fraud investigation background check
“We're investigating a referral pattern — pull everything Healthparse has on NPI 1427060975: their Medicare Part B utilization, Part D prescribing summary, change-event history, and any exclusion flags from state boards or federal lists.”
Technical details
Endpoint
GEThttps://api.healthparse.io/v1/providers/:npi/provider360When to prefer
Choose this endpoint when you need a comprehensive, single-call profile of a US healthcare provider by NPI without assembling data from multiple federal sources yourself. It is ideal for provider credentialing workflows, compliance screening, payer network due diligence, fraud investigation, or any use case requiring a combination of exclusion status, Medicare utilization, Open Payments, and quality scores in one response. Prefer this over individual-source lookups when breadth and convenience matter; note this is not a consumer report and should be used for B2B compliance and analytics contexts.
Side effects
- Invalid or non-existent NPI returns a 404 or empty result
- NPI exists in NPPES but has no Medicare or other federal data — absent legs returned explicitly
- Rate limiting or payment failure via x402 protocol returns 402 Payment Required
- Upstream federal data source temporarily unavailable may result in partial dossier with affected legs flagged
- Formatting errors in NPI (non-10-digit) may return a 400 validation error
Input
Schema · Request body
| Field | Type | Description |
|---|---|---|
| input | object |
Tags
x402
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