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Centene Practitioner Network API

RESTful API endpoints for search Practitioners' network related information. More information can be found on the corresponding Alation page: https://alation.centene.com/table/538096/

Centene Practitioner Network API is one of 58 APIs that Centene publishes on the APIs.io network, described by a machine-readable OpenAPI specification.

Tagged areas include Practitioner-Network-API. The published artifact set on APIs.io includes an OpenAPI specification, API documentation, a getting-started guide, and an API reference.

This API exposes 19 operations across 19 paths, and defines 101 schemas. It is described by OpenAPI 3.2.0, at version 2.0.

Requests are made against 3 base URLs: https://dev-int-api-gw.centene.com/provider-rtr/demographics/, https://test-int-api-gw.centene.com/provider-rtr/demographics/, https://api-gateway-01.centene.com/provider-rtr/demographics/.

19 operations 19 paths 101 schemas 19 GET

Metadata

The identity and technical contract details declared by the specification.

Specification
OpenAPI 3.2.0
API Version
2.0
Base URL
https://iopc-pa.api.centene.com/iopc/pa
Authentication
OAuth 2.0
Resource Areas
1

Authentication & Security 1

Centene Practitioner Network API declares 1 security scheme for authenticating requests. It supports OAuth 2.0 (oauth2) using the clientCredentials flow, exposing 1 scope. By default, every request must be authenticated.

Paths & Operations 19

Across 19 paths, the API surfaces 19 operations — 19 GET. Each is listed below with its method, path, parameters, and response codes.

Practitioner-Network-API 19

RESTful API endpoints for search Practitioners' network related information. More information can be found on the corresponding Alation page: https://alation.centene.com/table/538…

GET
/provRTR/v2/practitioner/network
Get practitioner network plan
GetPractitionerNetworkPlan 9 params → 200400403500504
GET
/provRTR/v2/practitioner/network/businessunit
Get practitioner network business unit network id
GetPractitionerNetworkBusinessUnitNetworkId 10 params → 200400403500504
GET
/provRTR/v2/practitioner/network/businessunit/search
Get practitioner network business unit search
GetPractitionerNetworkBusinessUnitSearch 6 params → 200400403500504
GET
/provRTR/v2/practitioner/network/carrier
Get practitioner network carrier network id
GetPractitionerNetworkCarrierNetworkId 11 params → 200400403500504
GET
/provRTR/v2/practitioner/network/carrier/search
Get practitioner network carrier search
GetPractitionerNetworkCarrierSearch 6 params → 200400403500504
GET
/provRTR/v2/practitioner/network/health
Get practitioner network health
GetPractitionerNetworkHealth → 200403424500504
GET
/provRTR/v2/practitioner/network/healthplan
Get practitioner network health plan network id
GetPractitionerNetworkHealthPlanNetworkId 10 params → 200400403500504
GET
/provRTR/v2/practitioner/network/healthplan/search
Get practitioner network health plan search
GetPractitionerNetworkHealthPlanSearch 6 params → 200400403500504
GET
/provRTR/v2/practitioner/network/plans
Get practitioner network plans path
GetPractitionerNetworkPlansPath 5 params → 200400403500504
GET
/provRTR/v2/practitioner/network/product
Get practitioner network product network id
GetPractitionerNetworkProductNetworkId 11 params → 200400403500504
GET
/provRTR/v2/practitioner/network/version
Get practitioner network version
GetPractitionerNetworkVersion → 200403500504
GET
/provRTR/v2/practitioner/network/{BUSINESS_UNIT_CODE}
Get practitioner network business unit code
GetPractitionerNetworkBusinessUnitCode 10 params → 200400403500504
GET
/provRTR/v2/practitioner/network/{BUSINESS_UNIT_CODE}/{HEALTH_PLAN_CODE}
Get practitioner network health plan code
GetPractitionerNetworkHealthPlanCode 11 params → 200400403500504
GET
/provRTR/v2/practitioner/network/{BUSINESS_UNIT_CODE}/{HEALTH_PLAN_CODE}/{PRODUCT_CODE}
Get practitioner network product code
GetPractitionerNetworkProductCode 12 params → 200400403500504
GET
/provRTR/v2/practitioner/network/{PRAC_ID}/businessunit
Get practitioner by id business unit network
GetPractitionerByIdBusinessUnitNetwork 5 params → 200400403500504
GET
/provRTR/v2/practitioner/network/{PRAC_ID}/carrier
Get practitioner by id carrier network id
GetPractitionerByIdCarrierNetworkId 5 params → 200400403500504
GET
/provRTR/v2/practitioner/network/{PRAC_ID}/healthplan
Get practitioner by id health plan network
GetPractitionerByIdHealthPlanNetwork 5 params → 200400403500504
GET
/v2/practitioner/network/product/search
Get practitioner network product network search
GetPractitionerNetworkProductNetworkSearch 6 params → 200400403500504
GET
/v2/practitioner/network/{PRAC_ID}/product
Get practitioner by id product network
GetPractitionerByIdProductNetwork 5 params → 200400403500504

Schemas 101

The contract defines 101 schemas that model the data the API accepts and returns. The most detailed are Practitioner (79 properties), Affiliation (60 properties), Location (38 properties), PractitionerLocation (35 properties). Each schema is shown below with its type and property counts.

Address
object
18 properties
PhoneNumber
object
7 properties
HospitalPrivilege
object
5 properties
CAPrisonSubSpecialties
object
6 properties
GeoCoords
object
3 properties
CBAS
object
1 property
HIVAIDS
object
2 properties
Credential
object
15 properties
CompPerinatalServiceProgram
object
4 properties
Affiliation
object
60 properties
Contract
object
14 properties
versionResponse
object
Version response containing build information of the current api
3 properties
AlternateName
object
3 properties
OneCareKansas
object
6 properties
PanelQuestion
object
5 properties
IndependentPhysicianAssociation
object
3 properties
Practitioner
object
79 properties
OfficeHours
object
10 properties
NetworkResponse
object
2 properties
BusinessEntityAffiliations
object
4 properties
EligibleForDisplay
object
7 properties
MedicareAdvantageRequired
object
7 properties
PPG
object
5 properties
NetworkCycle
object
9 properties
VendorInformation
object
3 properties
PracNetLocSpecialties
object
2 properties
EssentialCommunityProviderTypes
object
7 properties
CAQH
object
12 properties
BillingPhoneNumbers
object
7 properties
ExtenderInformation
object
6 properties
Location
object
38 properties
CertificationIssue
object
9 properties
ResilienceIntegratedSystemsExcellence
object
4 properties
VFCProgram
object
3 properties
IndianHealthCareProvider
object
4 properties
LocationProvider
object
10 properties
LegacyIds
object
4 properties
ProviderLocationLegacy
object
4 properties
Education
object
10 properties
AscensionOwnership
object
5 properties
MedicaidInfo
object
4 properties
Hospital
object
4 properties
HCBS
object
3 properties
OfficeHourComponent
object
3 properties
Termination
object
3 properties
EHR
object
9 properties
CAPrisonCred
object
7 properties
Panel
object
15 properties
MedicareAdvantage
object
8 properties
NetworkComponent
object
3 properties
Certification
object
5 properties
GeoJSONPoint
object
2 properties
NetworkLocationAttributes
object
4 properties
PractitionerLocation
object
35 properties
CHDPCertificate
object
4 properties
DisclosureOfOwnership
object
8 properties
PractitionerSingleResponse
object
1 property
Phone
object
6 properties
ProgramEnrollment
object
5 properties
EthnicMinorityRaceStatus
object
3 properties
Accreditations
object
6 properties
NCAdvancedMedicaidHomeClinicallyIntegratedNetworkDataSharing
object
4 properties
Network
object
9 properties
NPI
object
5 properties
MedicalLicense
object
6 properties
Malpractice
object
17 properties
CulturalCompetenceTraining
object
9 properties
Audit
object
2 properties
MMAPhysicianIncentive
object
3 properties
Taxonomies
object
3 properties
Metadata
object
3 properties
ProviderKansasIdentifiers
object
15 properties
OBGYN
object
2 properties
PracPrisonIndicator
object
6 properties
DEAInformation
object
3 properties
DirectoryDisplay
object
3 properties
ProviderType
object
7 properties
Attributes
object
3 properties
AdvancedMedicalHomeTier
object
5 properties
ProfessionalProfile
object
4 properties
QualityRating
object
2 properties
NationalId
object
2 properties
PersonalProfile
object
4 properties
healthResponse
object
Health response containing the status of the mongo database
3 properties
PractitionerResponse
object
2 properties
CDS
object
3 properties
Insurance
object
8 properties
Agreement
object
10 properties
ECFMG
object
4 properties
CLIAAccreditation
object
1 property
CCSCertificate
object
4 properties
Accreditation
object
7 properties
Specialty
object
14 properties
PractitionerTaxonomy
object
2 properties
Specialties
object
3 properties
MedicalHome
object
23 properties
Taxonomy
object
5 properties
HCBSAccreditation
object
4 properties
AmisysInfo
object
2 properties
ACAEligibility
object
8 properties
ADAIndicator
object
14 properties

Specification

The full machine-readable OpenAPI contract behind this narrative.

Source

centene-practitioner-network-api-api-openapi.yml Raw ↑

Other APIs Centene publishes across the network.

Centene Batch Results Ack Submit Transaction API
Centene Batch Results Retrieval Transaction API
Centene Batch Submit Ack Retrieval Transaction API
Centene Batch Submit Transaction API
Centene Care Team API
Centene Communication API
Centene Condition API
Centene Coverage API
Centene Custom Mapping API
Centene Custom Query Validator API
Centene Device API
Centene Diagnostic Report API
Where this information came from

This is an independent, third-party profile of Centene Practitioner Network API, published by API Evangelist. We do not operate, host, resell, or support these APIs, and we are not affiliated with or endorsed by the company unless stated above. Everything here is built from publicly available information — the company's own site, developer portal, documentation, public repositories, and the specifications it publishes for public use. Nothing is obtained by breaching a system, defeating an access control, or using credentials.

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