GET/provider/search

Endpoint

/provider/search

Description

/provider/search: returns all matches to provider search parameters given in query string

Search Parameters

Parameter

Description

NPI

The provider's National Provider Identifier

Name

full name including first and last

FirstName

The provider's first name

LastName

The provider's last name

Address

The provider's full address including street, city, state, and zip

AddressType

Enables you to narrow a search on any address parameter to either the provider's mailingor practice address

StreetAddress

The provider's street address

City

The provider's city

State

The provider's state

Zip

The provider's zip code

Phone

The provider's 10-digit phone number

Email

The provider's email address

Organization

Legal name of the group that the individual clinician works with

TaxonomyCode

The provider's specialty code, depending on the TaxonomySystem

TaxonomySystem

Identifes the source system for a given specialty code and description. (e.g. CMS, SNOMED, HL7, etc.)

TaxonomyDescription

Description of provider specialty

TaxonomyLicense

A provider's unique ID to practice medicine in the state in which they are licensed

TaxonomyState

The state a provider is licensed to practice

ProviderType

The role an individual provider performs

Carrier

The name of a carrier the provider is in-network with

PlanName

The name of the plan or plans associated with the carrier the provider is in-network with

PlanType

The type of insurance plan

AcceptingPatients

Set to true for providers who are accepting new patients and falsefor providers who are not.

HospitalAffiliation

Legal business name of the hospital where individual clinician provides service

OtherIdentifier

A nested set of fields used to display identifiers defined by the OtherIdentifierType and OtherIdentifierIssuer

OtherIdentifierType

OtherIdentifiers are defined by the following OtherIdentifierTypes:
01 - OTHER
03 - Medicare ID
04 - OASAS ID
05 - Medicaid Number
09 - MA Number
10 - CAQH #
11 - Veradigm
12 - Epic
13 - CMS Contract ID
14 - Compensation Grid ID

Pagination: Optional

Page (defaults to 0)
Size (defaults to 25)

Example Request and Response

Example Request

Provider searches can be sent using any of the parameters associated with a provider.
In this example, the request is sent using the provider's full name:

GEThttps://api.convergent-pd.com/provider/search?FirstName=John&LastName=Doe&State=MD

https://api.convergent-pd.com/provider/search?FirstName=John&LastName=Doe&State=MD
{
    "id": "Ot2iWXkBm52O8PH1DbBy",
    "data":
    {
        "FullAddress":
        [
            "131 W 35TH ST FL 7 NEW YORK NY 100012111",
            "1 GUSTAVE L LEVY PL NEW YORK NY 100296504",
            "1111 AMSTERDAM AVE NEW YORK NY 100251716",
            "1110 PENNSYLVANIA AVE SUITE 14 BROOKLYN NY 112079061",
            "1041 3RD AVE SUITE 200 NEW YORK NY 100658114",
            "2329 NOSTRAND AVE FL 6 BROOKLYN NY 112103936",
            "8718 BAY PKWY FL 1-2 BROOKLYN NY 112145272 US",
            "8718 BAY PARKWAY FLOOR 1-2 BROOKLYN NY 112140000"
        ],
        "Address":
        [
            {
                "Zip":
                [
                    "112140000"
                ],
                "AddressLine2":
                [
                    "FLOOR 1-2"
                ],
                "AddressLine1":
                [
                    "8718 BAY PARKWAY"
                ],
                "City":
                [
                    "BROOKLYN"
                ],
                "AddressType":
                [
                    "PRACTICE"
                ],
                "AddressState":
                [
                    "NY"
                ]
            },
            {
                "Zip":
                [
                    "112145272"
                ],
                "AddressLine1":
                [
                    "8718 BAY PKWY FL 1-2"
                ],
                "FaxPhoneNumber":
                [
                    "7182661426"
                ],
                "Country":
                [
                    "US"
                ],
                "AddressPhone":
                [
                    "7182660900"
                ],
                "City":
                [
                    "BROOKLYN"
                ],
                "AddressType":
                [
                    "MAILING"
                ],
                "AddressState":
                [
                    "NY"
                ]
            },
            {
                "Zip":
                [
                    "112145272"
                ],
                "AddressLine1":
                [
                    "8718 BAY PKWY FL 1-2"
                ],
                "Country":
                [
                    "US"
                ],
                "AddressPhone":
                [
                    "7182660900"
                ],
                "City":
                [
                    "BROOKLYN"
                ],
                "AddressType":
                [
                    "PRACTICE"
                ],
                "AddressState":
                [
                    "NY"
                ]
            },
            {
                "Zip":
                [
                    "112103936"
                ],
                "AddressLine2":
                [
                    "FL 6"
                ],
                "AddressLine1":
                [
                    "2329 NOSTRAND AVE"
                ],
                "AddressPhone":
                [
                    "7188590046"
                ],
                "City":
                [
                    "BROOKLYN"
                ],
                "AddressType":
                [
                    "PRACTICE"
                ],
                "AddressState":
                [
                    "NY"
                ]
            },
            {
                "Zip":
                [
                    "100658114"
                ],
                "AddressLine2":
                [
                    "SUITE 200"
                ],
                "AddressLine1":
                [
                    "1041 3RD AVE"
                ],
                "AddressPhone":
                [
                    "7182660900"
                ],
                "City":
                [
                    "NEW YORK"
                ],
                "AddressType":
                [
                    "PRACTICE"
                ],
                "AddressState":
                [
                    "NY"
                ]
            },
            {
                "Zip":
                [
                    "112079061"
                ],
                "AddressLine2":
                [
                    "SUITE 14"
                ],
                "AddressLine1":
                [
                    "1110 PENNSYLVANIA AVE"
                ],
                "AddressPhone":
                [
                    "7182570900"
                ],
                "City":
                [
                    "BROOKLYN"
                ],
                "AddressType":
                [
                    "PRACTICE"
                ],
                "AddressState":
                [
                    "NY"
                ]
            },
            {
                "Zip":
                [
                    "100251716"
                ],
                "AddressLine1":
                [
                    "1111 AMSTERDAM AVE"
                ],
                "AddressPhone":
                [
                    "7182660900"
                ],
                "City":
                [
                    "NEW YORK"
                ],
                "AddressType":
                [
                    "PRACTICE"
                ],
                "AddressState":
                [
                    "NY"
                ]
            },
            {
                "Zip":
                [
                    "100296504"
                ],
                "AddressLine1":
                [
                    "1 GUSTAVE L LEVY PL"
                ],
                "AddressPhone":
                [
                    "2127317822"
                ],
                "City":
                [
                    "NEW YORK"
                ],
                "AddressType":
                [
                    "PRACTICE"
                ],
                "AddressState":
                [
                    "NY"
                ]
            },
            {
                "Zip":
                [
                    "100012111"
                ],
                "AddressLine2":
                [
                    "FL 7"
                ],
                "AddressLine1":
                [
                    "131 W 35TH ST"
                ],
                "AddressPhone":
                [
                    "2124758066"
                ],
                "City":
                [
                    "NEW YORK"
                ],
                "AddressType":
                [
                    "PRACTICE"
                ],
                "AddressState":
                [
                    "NY"
                ]
            }
        ],
        "HospitalAffiliation":
        [
            {
                "HospitalName":
                [
                    "MOUNT SINAI ST LUKE'S ROOSEVELT HOSPITAL"
                ],
                "MedicareCCN":
                [
                    "330046"
                ]
            },
            {
                "HospitalName":
                [
                    "MOUNT SINAI BETH ISRAEL"
                ],
                "MedicareCCN":
                [
                    "330169"
                ]
            }
        ],
        "Gender":
        [
            "M"
        ],
        "Name":
        [
            {
                "Credential":
                [
                    "M.D."
                ],
                "FirstName":
                [
                    "NAVEED"
                ],
                "NameType":
                [
                    "PRIMARY"
                ],
                "Prefix":
                [
                    "DR."
                ],
                "LastName":
                [
                    "RAJPER"
                ],
                "MiddleName":
                [
                    "ALI"
                ]
            }
        ],
        "State":
        [
            "NY"
        ],
        "Taxonomy":
        [
            {
                "TaxonomyDescription":
                [
                    "INTERVENTIONAL CARDIOLOGY"
                ],
                "TaxonomySwitch":
                [
                    "Y"
                ]
            },
            {
                "TaxonomyLicense":
                [
                    "282463"
                ],
                "TaxonomyCode":
                [
                    "207RI0011X"
                ],
                "TaxonomySystem":
                [
                    "https://nucc.org/images/stories/csv/nucc_taxonomy_201.csv"
                ],
                "TaxonomyDescription":
                [
                    "INTERNAL MEDICINE INTERVENTIONAL CARDIOLOGY"
                ],
                "TaxonomyState":
                [
                    "NY"
                ],
                "TaxonomySwitch":
                [
                    "TRUE"
                ]
            },
            {
                "TaxonomyLicense":
                [
                    "282463-1"
                ]
            }
        ],
        "NPI":
        [
            "1114226354"
        ],
        "Phone":
        [
            "7182660900"
        ],
        "GradYear":
        [
            "2006"
        ],
        "MedSchool":
        [
            "OTHER"
        ],
        "FullName":
        [
            "NAVEED ALI RAJPER"
        ],
        "NPPESEntityType":
        [
            "INDIVIDUAL"
        ]
    }
}

Example Response

The response is a JSON object containing the total number of results and a results array with 0, 1, or many results. The maximum number of results can be controlled with the Size parameter. Each result contains some metadata and a golden record object with the id and data (field values) of the result. The term golden record refers to the fact that the data returned for each result does not represent any one individual source record; rather it is a composite record combining the best available data from across multiple sources.
If there are no matches then the total number of results is 0 and the results array is empty.

{
            "goldenRecord": {
                "id": "FVMcz4ABFzVTNDCeN85U",
                "data": {
                    "FullAddress": [
                        "1 GUSTAVE L LEVY PL NEW YORK NY 10029-6504"
                    ],
                    "Organization": [
                        "ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI"
                    ],
                    "Address": [
                        {
                            "Zip": [
                                "10029-6504"
                            ],
                            "AddressLine1": [
                                "1 GUSTAVE L LEVY PL"
                            ],
                            "AddressPhone": [
                                "(212) 731-7822"
                            ],
                            "City": [
                                "NEW YORK"
                            ],
                            "AddressType": [
                                "PRACTICE"
                            ],
                            "AddressState": [
                                "NY"
                            ],
                            "SSACountyCode": [
                                "33420"
                            ],
                            "CountyFIPs": [
                                "36061"
                            ],
                            "RDI": [
                                "COMMERCIAL"
                            ],
                            "County": [
                                "NEW YORK"
                            ],
                            "Location": [
                                "40.79055,-73.95383"
                            ]
                        }
                    ],
                    "Taxonomy": [
                        {
                            "TaxonomyCode": [
                                "06"
                            ],
                            "TaxonomySystem": [
                                "https://data.cms.gov/provider-characteristics/medicare-provider-supplier-enrollment/medicare-provider-and-supplier-taxonomy-crosswalk"
                            ],
                            "TaxonomyDescription": [
                                "CARDIOVASCULAR DISEASE (CARDIOLOGY)"
                            ]
                        },
                        {
                            "TaxonomyCode": [
                                "008"
                            ],
                            "TaxonomySystem": [
                                "https://www.cms.gov/files/document/medicareadvantageandsection1876costplannetworkadequacyguidance6-17-2020.pdf"
                            ],
                            "TaxonomyDescription": [
                                "CARDIOLOGY"
                            ]
                        },
                        {
                            "TaxonomyDescription": [
                                "CARDIOVASCULAR DISEASE (CARDIOLOGY)"
                            ],
                            "TaxonomySwitch": [
                                "TRUE"
                            ]
                        }
                    ],
                    "HospitalAffiliation": [
                        {
                            "HospitalName": [
                                "MOUNT SINAI ST LUKE'S ROOSEVELT HOSPITAL"
                            ],
                            "MedicareCCN": [
                                "330046"
                            ]
                        }
                    ],
                    "NPI": [
                        "1871913830"
                    ],
                    "Gender": [
                        "M"
                    ],
                    "Name": [
                        {
                            "FirstName": [
                                "PAUL"
                            ],
                            "NameType": [
                                "PRIMARY"
                            ],
                            "LastName": [
                                "LEIS"
                            ]
                        }
                    ],
                    "NPPESEntityType": [
                        "INDIVIDUAL"
                    ],
                    "OtherIdentifier": [
                        {
                            "OtherIdentifierType": [
                                "5"
                            ],
                            "OtherIdentifierNumber": [
                                "04796241"
                            ],
                            "OtherIdentifierIssuer": [
                                "NEW YORK STATE DEPARTMENT OF HEALTH"
                            ],
                            "OtherIdentifierState": [
                                "NY"
                            ]
                        }
                    ],
                    "Insurances": [
                        {
                            "ContractStartDate": [
                                "03/23/2017"
                            ],
                            "PlanState": [
                                "NY"
                            ],
                            "ContractEndDate": [
                                "05/01/2024"
                            ],
                            "PlanType": [
                                "FFS"
                            ],
                            "Carrier": [
                                "NEW YORK MEDICAID"
                            ],
                            "PlanStatus": [
                                "TRUE"
                            ]
                        }
                    ],
                    "ProviderType": [
                        "PHYSICIAN"
                    ],
                    "DEALookup": [
                        "FL5555555"
                    ],
                    "DEADrugSchedules": [
                        "22555555"
                    ],
                    "DEAExpirationDate": [
                        "03/31/2023"
                    ],
                    "DEABusinessActivityCode": [
                        "C"
                    ],
                    "DEABusinessActivitySubcode": [
                        "0"
                    ]
                }
            },
            "score": 11.768958,
            "explanation": null,
            "explanationId": null
        }

Use Case

To get a list of all possible matches for the searched provider demographics.