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"
  ]
}