Centers for Medicare and Medicaid Services · Schema

Provider

Schema for Provider from CMS Marketplace API

MedicareMedicaidHealthcareHealth InsuranceFHIRFederal GovernmentDrug SpendingProvider DataQuality MeasuresClaims Data

Properties

Name	Type	Description
name	string
gender	object
specialties	array
type	object
accepting	string
npi	string
languages	array
facility_types	array	If provider is a facility, this is a list of the applicable facility types
taxonomy	string	provider taxonomy from National Uniform Claim Committee

View JSON Schema on GitHub

JSON Schema

{
  "$schema": "http://json-schema.org/draft-07/schema#",
  "title": "Provider",
  "description": "Schema for Provider from CMS Marketplace API",
  "properties": {
    "name": {
      "type": "string"
    },
    "gender": {
      "$ref": "#/definitions/ProviderGenderEnum"
    },
    "specialties": {
      "type": "array",
      "items": {
        "type": "string"
      }
    },
    "type": {
      "$ref": "#/definitions/ProviderTypeEnum"
    },
    "accepting": {
      "type": "string",
      "enum": [
        "accepting",
        "not accepting",
        "accepting in some locations",
        "unknown"
      ]
    },
    "npi": {
      "type": "string",
      "pattern": "^[0-9]{10}$",
      "title": "National Provider Identifier"
    },
    "languages": {
      "type": "array",
      "items": {
        "type": "string"
      }
    },
    "facility_types": {
      "type": "array",
      "items": {
        "type": "string"
      },
      "description": "If provider is a facility, this is a list of the applicable facility types"
    },
    "taxonomy": {
      "type": "string",
      "description": "provider taxonomy from National Uniform Claim Committee"
    }
  },
  "type": "object",
  "required": [
    "name",
    "type",
    "npi"
  ]
}